Provider Demographics
NPI:1497309512
Name:ARCHER, ERMA (CADC-I)
Entity Type:Individual
Prefix:
First Name:ERMA
Middle Name:
Last Name:ARCHER
Suffix:
Gender:F
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 W WARM SPRINGS RD STE 130
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4326
Mailing Address - Country:US
Mailing Address - Phone:702-248-0000
Mailing Address - Fax:702-933-5545
Practice Address - Street 1:1546 W WARM SPRINGS RD STE 130
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4326
Practice Address - Country:US
Practice Address - Phone:702-248-0000
Practice Address - Fax:702-933-5545
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01642-I101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)