Provider Demographics
NPI:1770850174
Name:CHAPMAN, ERICA NICOLE (EDD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:NICOLE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5618 UNION POINTE DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-1650
Mailing Address - Country:US
Mailing Address - Phone:678-939-6815
Mailing Address - Fax:
Practice Address - Street 1:11285 ELKINS RD STE F1B
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5837
Practice Address - Country:US
Practice Address - Phone:470-223-5605
Practice Address - Fax:678-373-3563
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional