Provider Demographics
NPI:1184413015
Name:HARRIS, ERIKA L (LCMHCA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:L
Last Name:HARRIS
Suffix:
Gender:
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10008 PERTH MOOR RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-6584
Mailing Address - Country:US
Mailing Address - Phone:585-766-4991
Mailing Address - Fax:
Practice Address - Street 1:801 CLANTON RD STE 114
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-1365
Practice Address - Country:US
Practice Address - Phone:585-766-4991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21322101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health