Provider Demographics
NPI:1023257367
Name:MONCURE, ERIN
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:MONCURE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 SPRING FOREST RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2811
Mailing Address - Country:US
Mailing Address - Phone:919-758-8797
Mailing Address - Fax:919-720-4193
Practice Address - Street 1:3200 SPRING FOREST RD
Practice Address - Street 2:SUITE 206
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-2811
Practice Address - Country:US
Practice Address - Phone:919-758-8797
Practice Address - Fax:919-720-4193
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6020A106H00000X
NC7753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist