Provider Demographics
NPI:1689157315
Name:SPAHR, ERIN MARIE (LCPC, PMH-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:SPAHR
Suffix:
Gender:F
Credentials:LCPC, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 GLENWOOD AVE STE 200-516
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3856
Mailing Address - Country:US
Mailing Address - Phone:301-615-4401
Mailing Address - Fax:
Practice Address - Street 1:4801 GLENWOOD AVE STE 200-516
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-3856
Practice Address - Country:US
Practice Address - Phone:301-615-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5681101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional