Provider Demographics
NPI:1184113730
Name:QUERZE, ERICA (LPC)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:QUERZE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:MANSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:50 COMMERCE PARK
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460
Mailing Address - Country:US
Mailing Address - Phone:203-804-9881
Mailing Address - Fax:
Practice Address - Street 1:1 GOLDEN HILL
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460
Practice Address - Country:US
Practice Address - Phone:203-804-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health