Provider Demographics
NPI:1265943542
Name:HAMBRICK, ERIN LYNN (LPCA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:HAMBRICK
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4517 RAINS CROSSROADS RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NC
Mailing Address - Zip Code:27569-7775
Mailing Address - Country:US
Mailing Address - Phone:919-631-6923
Mailing Address - Fax:
Practice Address - Street 1:538 W MARKET ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3323
Practice Address - Country:US
Practice Address - Phone:919-386-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13368101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health