Provider Demographics
NPI:1700448941
Name:CHAVIE, ERICA ROSE (MS)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:ROSE
Last Name:CHAVIE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:ROSE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1815 BIGELOW AVE
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-1539
Mailing Address - Country:US
Mailing Address - Phone:507-210-8771
Mailing Address - Fax:
Practice Address - Street 1:1111 28TH ST NE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-6410
Practice Address - Country:US
Practice Address - Phone:507-434-4394
Practice Address - Fax:507-433-7868
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health