Provider Demographics
NPI:1578232146
Name:WOOLDRIDGE, ERICA CATHERINE (LPC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:CATHERINE
Last Name:WOOLDRIDGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 OLD BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-5757
Mailing Address - Country:US
Mailing Address - Phone:804-598-2200
Mailing Address - Fax:804-598-3114
Practice Address - Street 1:3910 OLD BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-5757
Practice Address - Country:US
Practice Address - Phone:804-598-2200
Practice Address - Fax:804-598-3114
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional