Provider Demographics
NPI:1477989226
Name:ERWIN, NIKKI ELLEN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:ELLEN
Last Name:ERWIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3725
Mailing Address - Country:US
Mailing Address - Phone:502-935-1313
Mailing Address - Fax:
Practice Address - Street 1:4613 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3725
Practice Address - Country:US
Practice Address - Phone:502-935-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0836106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist