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Erica Geralds, MDIV,LPC,NCC
Counselor in Loganville, Georgia
NPI 1861926149

Erica Geralds is a Counselor based in Loganville, GA. Erica Geralds practices in Loganville, GA and has the professional credentials of MDIV,LPC,NCC. The NPI Number for Erica Geralds is 1861926149 and holds a License No. 178.012703 (Georgia).

The current practice location address for Erica Geralds is 4190 Peace Rose Pl, Loganville, GA and can be reached out via phone at 678-640-3196.

Location: 4190 Peace Rose Pl, Loganville, GA, 30052-5112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861926149
Provider Name
Erica Geralds
Credential
MDIV,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
4190 Peace Rose Pl, Loganville, GA, 30052-5112
Phone Number
678-640-3196
Fax Number
Provider Enumeration Date
04/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1673042 01 IL BLUE CROSS BLUE SHIELD
2A00-IPI-178 05 IL
institution
Provider Business Practice Location Address Details
Address
4190 Peace Rose Pl
City
Loganville
State
Georgia
Zip
30052-5112
Phone Number
678-640-3196
Fax Number
person
Provider Business Mailing Address Details
Address
4190 Peace Rose Pl
City
Loganville
State
Georgia
Zip
30052-5112
Phone Number
678-640-3196
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC011071 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178.012703 (Illinois)
Definition
Definition to come...
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