Provider Demographics
NPI:1679850531
Name:ERVIN, CAMEY H (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAMEY
Middle Name:H
Last Name:ERVIN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3132
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-3132
Mailing Address - Country:US
Mailing Address - Phone:828-334-5710
Mailing Address - Fax:828-433-4576
Practice Address - Street 1:216 EDGEWOOD CIR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8021
Practice Address - Country:US
Practice Address - Phone:828-334-5710
Practice Address - Fax:828-433-4576
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional