Provider Demographics
NPI:1881365567
Name:CORTES, ERICA (LPC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:CORTES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 E WASHINGTON ST STE F
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-3977
Mailing Address - Country:US
Mailing Address - Phone:843-584-7393
Mailing Address - Fax:843-977-1711
Practice Address - Street 1:113 E WASHINGTON ST STE F
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-3977
Practice Address - Country:US
Practice Address - Phone:843-584-7393
Practice Address - Fax:843-977-1711
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
SC8625101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional