Provider Demographics
NPI:1922315340
Name:ERMC COUNSELING SERVICES INC
Entity type:Organization
Organization Name:ERMC COUNSELING SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CLINICAL OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:561-286-5349
Mailing Address - Street 1:6420 MELALEUCA LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3807
Mailing Address - Country:US
Mailing Address - Phone:561-286-5340
Mailing Address - Fax:888-385-6227
Practice Address - Street 1:6420 MELALEUCA LN
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3807
Practice Address - Country:US
Practice Address - Phone:561-286-5340
Practice Address - Fax:888-385-6227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12182101YM0800X
FLSW 122101041C0700X
FLSW 72941041C0700X
106H00000X
MA6917101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015031400Medicaid
FL004395700Medicaid
FL010365700Medicaid
FL015031400Medicaid
IG194ZMedicare PIN