Provider Demographics
NPI:1720714447
Name:JACOBS, ERIN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:JACOBS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19506 PLANTATION ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3086
Mailing Address - Country:US
Mailing Address - Phone:346-291-3748
Mailing Address - Fax:
Practice Address - Street 1:2116 THOMPSON RD STE 107
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5415
Practice Address - Country:US
Practice Address - Phone:346-291-3748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202908106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist