Provider Demographics
NPI:1619345246
Name:VINSON, ERICA (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:VINSON
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8221 RANCH BLVD STE A-1
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4616
Mailing Address - Country:US
Mailing Address - Phone:501-291-2032
Mailing Address - Fax:
Practice Address - Street 1:8221 RANCH BLVD STE A-1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4616
Practice Address - Country:US
Practice Address - Phone:501-291-2032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1210086101Y00000X
ARP1910129101YM0800X, 101YP2500X
ARA1303011106H00000X
ARM1910011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist