Provider Demographics
NPI:1871380154
Name:TARRANT, ERICA ELIZABETH (LMSW)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ELIZABETH
Last Name:TARRANT
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3753 ROSS CLARK CIR STE 4
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2291
Mailing Address - Country:US
Mailing Address - Phone:334-678-1933
Mailing Address - Fax:
Practice Address - Street 1:3753 ROSS CLARK CIR STE 4
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2291
Practice Address - Country:US
Practice Address - Phone:334-678-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6244G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical