Provider Demographics
NPI:1619420759
Name:SALERNO, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SALERNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 VILLAGE LN N APT B
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2986
Mailing Address - Country:US
Mailing Address - Phone:504-241-6006
Mailing Address - Fax:504-241-6007
Practice Address - Street 1:6408 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471
Practice Address - Country:US
Practice Address - Phone:504-241-6006
Practice Address - Fax:504-241-6007
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health