Provider Demographics
NPI:1922733955
Name:SEALE, ERIN MELISSA (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MELISSA
Last Name:SEALE
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 1:10825 NCR 1500
Mailing Address - Street 2:
Mailing Address - City:SHALLOWATER
Mailing Address - State:TX
Mailing Address - Zip Code:79363-5610
Mailing Address - Country:US
Mailing Address - Phone:806-252-2848
Mailing Address - Fax:
Practice Address - Street 1:2402 52ND ST STE 3
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2548
Practice Address - Country:US
Practice Address - Phone:806-300-5370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83204101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional