Provider Demographics
NPI:1497775001
Name:PIASTA, ERMA (MSW, LCSW, LADC)
Entity Type:Individual
Prefix:MRS
First Name:ERMA
Middle Name:
Last Name:PIASTA
Suffix:
Gender:F
Credentials:MSW, LCSW, LADC
Other - Prefix:MRS
Other - First Name:ERMA
Other - Middle Name:JEAN
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW, LADC
Mailing Address - Street 1:2441 TECH CENTER CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0804
Mailing Address - Country:US
Mailing Address - Phone:702-318-8260
Mailing Address - Fax:702-648-2348
Practice Address - Street 1:2441 TECH CENTER CT STE 103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0804
Practice Address - Country:US
Practice Address - Phone:702-318-8260
Practice Address - Fax:702-648-2348
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01140L101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV30161Medicare ID - Type UnspecifiedCOUNSELING