Provider Demographics
NPI:1780017574
Name:MEYER, ERIN (LPC-MH, LAC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:LPC-MH, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4948 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8705
Mailing Address - Country:US
Mailing Address - Phone:605-359-0303
Mailing Address - Fax:605-362-5803
Practice Address - Street 1:4948 E 57TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8705
Practice Address - Country:US
Practice Address - Phone:605-359-0303
Practice Address - Fax:605-362-5803
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH2228101YP2500X
SDCCDCIII 12091542101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional