Provider Demographics
NPI:1962017160
Name:GUFFEY, ERIN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:GUFFEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:GUFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:12750 MILL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-7882
Mailing Address - Country:US
Mailing Address - Phone:931-216-2857
Mailing Address - Fax:
Practice Address - Street 1:12750 MILL CREEK DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-7882
Practice Address - Country:US
Practice Address - Phone:931-216-2857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health