Provider Demographics
NPI:1972867059
Name:VIARA, ERIKA LYNN (LPC)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:LYNN
Last Name:VIARA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:FALKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:94 RICHARD RD
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-6315
Mailing Address - Country:US
Mailing Address - Phone:413-348-2165
Mailing Address - Fax:
Practice Address - Street 1:71 HAYNES ST
Practice Address - Street 2:BH ADMINISTRATION
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4131
Practice Address - Country:US
Practice Address - Phone:860-533-3494
Practice Address - Fax:860-647-6831
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001930101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional