Provider Demographics
NPI:1770380180
Name:GRUMLEY, ERIN L (LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:GRUMLEY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 EMERALD LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62208-2638
Mailing Address - Country:US
Mailing Address - Phone:314-789-3990
Mailing Address - Fax:
Practice Address - Street 1:48 EMERALD LN
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-2638
Practice Address - Country:US
Practice Address - Phone:314-789-3990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health