Provider Demographics
NPI:1821100272
Name:PURSLEY, ERIS N (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIS
Middle Name:N
Last Name:PURSLEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 BERRYMEADE HILLS CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3879
Mailing Address - Country:US
Mailing Address - Phone:503-975-3568
Mailing Address - Fax:804-800-2550
Practice Address - Street 1:1601 WILLOW LAWN DR
Practice Address - Street 2:STE 304
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3423
Practice Address - Country:US
Practice Address - Phone:804-993-4161
Practice Address - Fax:804-800-2550
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040083511041C0700X
ORL48761041C0700X
GACSW0040641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical