Provider Demographics
NPI:1255583571
Name:BROWN, ERIKA ANN (DLLP LPC NCC CCTP)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DLLP LPC NCC CCTP
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:ANN
Other - Last Name:THOMAS-COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS LPC NCC CCTP ACS
Mailing Address - Street 1:58089 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48048-2697
Mailing Address - Country:US
Mailing Address - Phone:586-604-9101
Mailing Address - Fax:586-690-4902
Practice Address - Street 1:58089 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MI
Practice Address - Zip Code:48048-2697
Practice Address - Country:US
Practice Address - Phone:586-604-9101
Practice Address - Fax:586-690-4902
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MI6351004405103TC0700X
MI6401011891101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1518354471OtherGROUP NPI
MI6351004405OtherDOCTORAL EDUCATED LIMITED LICENSE
MI6401011891OtherPROFESSIONAL COUNSELOR LICENSE