Brumfield, Erica Ashley
Brumfield, Erica Ashley is an individual health care provider with primary practice located at 501 Avalon Way Ste D , Brandon MS 39047-7500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brumfield, Erica Ashley can be contacted via phone (601) 874-3340.Contact Information
Primary practice address
501 Avalon Way Ste D
Brandon MS 39047-7500
Phone: (601) 874-3340
Fax: (601) 494-3241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1843 | Mississippi |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 9780 | Louisiana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 9780 | Louisiana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1843 | Mississippi |
Profile Details
| NPI number | 1457804148 |
|---|---|
| LBN Legal business name | Brumfield, Erica Ashley |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2016 |
| Last updated | Sep 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457804148 | NPPES |
| Mississippi | MEDICAID | 009356703 |
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