Provider Demographics
NPI:1487829305
Name:BURNS, ERIN (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:BURNS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 DOUGHERTY ST
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-6452
Mailing Address - Country:US
Mailing Address - Phone:386-409-2277
Mailing Address - Fax:386-409-2277
Practice Address - Street 1:519 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-7011
Practice Address - Country:US
Practice Address - Phone:386-409-2277
Practice Address - Fax:386-409-2277
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMFT 2320106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029955300Medicaid