Provider Demographics
NPI:1649845124
Name:JONES, ERIKA NIKOLE (ALC)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:NIKOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 HUFFMAN RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-8314
Mailing Address - Country:US
Mailing Address - Phone:205-382-0540
Mailing Address - Fax:
Practice Address - Street 1:529 HUFFMAN RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-8314
Practice Address - Country:US
Practice Address - Phone:205-382-0540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3767A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL279501Medicaid