Provider Demographics
NPI:1790001162
Name:ERB, JOSIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:
Last Name:ERB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 WILLOWBEND ST
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77320-3010
Mailing Address - Country:US
Mailing Address - Phone:936-577-9139
Mailing Address - Fax:
Practice Address - Street 1:114 WILLOWBEND ST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77320-3010
Practice Address - Country:US
Practice Address - Phone:936-577-9139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62998101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor