Provider Demographics
NPI:1184360513
Name:CAITLIN ERDMAN COUNSELING LLC
Entity type:Organization
Organization Name:CAITLIN ERDMAN COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICESNED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:CAPRICE
Authorized Official - Last Name:ERDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:231-431-0300
Mailing Address - Street 1:880 MUNSON AVE STE E1
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-3661
Mailing Address - Country:US
Mailing Address - Phone:231-431-0300
Mailing Address - Fax:231-431-0340
Practice Address - Street 1:880 MUNSON AVE STE E1
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3661
Practice Address - Country:US
Practice Address - Phone:231-431-0300
Practice Address - Fax:231-431-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty