| Erickson Counseling & Mediation Pllc | |
|
11107 Mccracken Cir Ste A Cypress TX 77429-4457 | |
| (832) 455-5729 | |
| (281) 970-8559 |
| Full Name | Erickson Counseling & Mediation Pllc |
|---|---|
| Speciality | Counselor |
| Location | 11107 Mccracken Cir Ste A, Cypress, Texas |
| Authorized Official Name and Position | Michael Dean Erickson (OWNER) |
| Authorized Official Contact | 8324555729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Counseling & Mediation Pllc 11107 Mccracken Cir Ste A Cypress TX 77429-4457 Ph: (832) 455-5729 | Erickson Counseling & Mediation Pllc 11107 Mccracken Cir Ste A Cypress TX 77429-4457 Ph: (832) 455-5729 |
| NPI Number | 1588111280 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Medicare PECOS PAC ID | 9830539758 |
|---|---|
| Medicare Enrollment ID | O20240425002178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588111280 | NPI | - | NPPES |
| 144436602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 17125 (Texas) | Primary |
| Provider Name | Michael Dean Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578575551 PECOS PAC ID: 0749620664 Enrollment ID: I20240425002322 |
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