Provider Demographics
NPI:1477827707
Name:ERICA STRIBLIN, LPC
Entity Type:Organization
Organization Name:ERICA STRIBLIN, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRIBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-374-7035
Mailing Address - Street 1:210 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-5620
Mailing Address - Country:US
Mailing Address - Phone:910-738-6767
Mailing Address - Fax:
Practice Address - Street 1:210 E 2ND ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-5620
Practice Address - Country:US
Practice Address - Phone:910-738-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104696Medicaid