Provider Demographics
NPI:1932403110
Name:STRIBLIN, ERICA ANN (MA,LPC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ANN
Last Name:STRIBLIN
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E 2ND ST
Mailing Address - Street 2:LUMBERTON
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-5620
Mailing Address - Country:US
Mailing Address - Phone:910-374-7035
Mailing Address - Fax:910-738-6767
Practice Address - Street 1:210 E 2ND ST
Practice Address - Street 2:LUMBERTON
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-5620
Practice Address - Country:US
Practice Address - Phone:910-374-7035
Practice Address - Fax:910-739-9954
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8369101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional