Provider Demographics
NPI:1982295366
Name:MAYE, ERIK (LMFT-A)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:MAYE
Suffix:
Gender:M
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10815 RANCH RD 2222
Mailing Address - Street 2:BLDG 3B STE.100 #555
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730
Mailing Address - Country:US
Mailing Address - Phone:512-710-9684
Mailing Address - Fax:
Practice Address - Street 1:10815 RANCH RD 2222
Practice Address - Street 2:BLDG 3B STE.100 #555
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730
Practice Address - Country:US
Practice Address - Phone:512-710-9684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203947106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist