Provider Demographics
NPI:1639223993
Name:CORAM, ERIN L (LMFT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:CORAM
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:L
Other - Last Name:ROEHLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1431
Mailing Address - Country:US
Mailing Address - Phone:317-965-0583
Mailing Address - Fax:
Practice Address - Street 1:1103 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1431
Practice Address - Country:US
Practice Address - Phone:317-852-6603
Practice Address - Fax:317-350-2939
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist