Provider Demographics
NPI:1467714733
Name:STONE, ERIN D (LAMFT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:D
Last Name:STONE
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E CAMELBACK RD STE 630
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1652
Mailing Address - Country:US
Mailing Address - Phone:888-998-4629
Mailing Address - Fax:602-635-1063
Practice Address - Street 1:1 E CAMELBACK RD STE 630
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1652
Practice Address - Country:US
Practice Address - Phone:888-998-4629
Practice Address - Fax:602-635-1063
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ664866Medicaid
AZZ150966Medicare UPIN