Provider Demographics
NPI:1710671359
Name:RHOADS, ERICA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:RHOADS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3367 GRUBBS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:17853-8233
Mailing Address - Country:US
Mailing Address - Phone:570-884-4124
Mailing Address - Fax:
Practice Address - Street 1:3367 GRUBBS CHURCH RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT MILLS
Practice Address - State:PA
Practice Address - Zip Code:17853-8233
Practice Address - Country:US
Practice Address - Phone:570-884-4124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional