Provider Demographics
NPI:1497093777
Name:BRASINGTON, ERIKA T
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:T
Last Name:BRASINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N FEDERAL HWY STE 206
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3493
Mailing Address - Country:US
Mailing Address - Phone:954-560-5260
Mailing Address - Fax:
Practice Address - Street 1:120 N FEDERAL HWY STE 206
Practice Address - Street 2:
Practice Address - City:LAKE WORTH BEACH
Practice Address - State:FL
Practice Address - Zip Code:33460-3493
Practice Address - Country:US
Practice Address - Phone:954-560-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health