Provider Demographics
NPI:1558695346
Name:METHENY, ERIN MOREY (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MOREY
Last Name:METHENY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MOREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:910 M ST NW
Mailing Address - Street 2:UNIT 128
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-6313
Mailing Address - Country:US
Mailing Address - Phone:703-677-1548
Mailing Address - Fax:
Practice Address - Street 1:1313 VINCENT PL
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3615
Practice Address - Country:US
Practice Address - Phone:703-677-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001194106H00000X
DCLMFT000128106H00000X
FLMT2549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist