Provider Demographics
NPI:1518300789
Name:STEENBERGEN, ERICA LYNN (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN
Last Name:STEENBERGEN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:LYNN
Other - Last Name:GARCEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1431 W GRANVILLE AVE # 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1809
Mailing Address - Country:US
Mailing Address - Phone:616-901-3127
Mailing Address - Fax:
Practice Address - Street 1:10725 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643
Practice Address - Country:US
Practice Address - Phone:616-901-3127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166000898106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist