Provider Demographics
NPI:1942618384
Name:LUGINBUHL BURKHOLDER, ERIN (LMHC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:LUGINBUHL BURKHOLDER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 ANDERSON PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-6744
Mailing Address - Country:US
Mailing Address - Phone:618-304-4247
Mailing Address - Fax:
Practice Address - Street 1:670 N ORLANDO AVE STE 103
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4465
Practice Address - Country:US
Practice Address - Phone:321-209-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH11350101YM0800X
FLMH13724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health