Provider Demographics
NPI:1700522794
Name:VAHRATIAN, ERIN LAURA (LMHC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LAURA
Last Name:VAHRATIAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LAURA
Other - Last Name:VAHRATIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:171 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01985-1801
Mailing Address - Country:US
Mailing Address - Phone:248-722-5304
Mailing Address - Fax:
Practice Address - Street 1:171 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01985-1801
Practice Address - Country:US
Practice Address - Phone:248-722-5304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health