Provider Demographics
NPI:1376371013
Name:KENDALL, ERICA (LMHCA)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:KENDALL
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S COUNTY ROAD 125 W
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-8175
Mailing Address - Country:US
Mailing Address - Phone:812-219-4014
Mailing Address - Fax:
Practice Address - Street 1:1780 E US HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-8722
Practice Address - Country:US
Practice Address - Phone:812-219-4014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health