Provider Demographics
NPI:1922776772
Name:KING, ERIN CULPEPPER (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CULPEPPER
Last Name:KING
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 1:105 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-4606
Mailing Address - Country:US
Mailing Address - Phone:601-754-9700
Mailing Address - Fax:
Practice Address - Street 1:411 MARYLAND AVE OFC C
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-3966
Practice Address - Country:US
Practice Address - Phone:601-207-6577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-04
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2325101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional