Provider Demographics
NPI:1215642970
Name:HER, ERIKO M (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:ERIKO
Middle Name:M
Last Name:HER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MRS
Other - First Name:ERIKO
Other - Middle Name:
Other - Last Name:KOCH, VANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11005 W 99TH PL
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-2553
Mailing Address - Country:US
Mailing Address - Phone:414-588-7994
Mailing Address - Fax:
Practice Address - Street 1:8220 TRAVIS ST STE 205
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3966
Practice Address - Country:US
Practice Address - Phone:414-588-7994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional