Provider Demographics
NPI:1801468798
Name:ERHOLTZ, VIRGINIA KATELYN
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:KATELYN
Last Name:ERHOLTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 MCCORD HALL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38152-3330
Mailing Address - Country:US
Mailing Address - Phone:619-277-7863
Mailing Address - Fax:
Practice Address - Street 1:752 WATSON ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-7551
Practice Address - Country:US
Practice Address - Phone:619-277-7863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker