Provider Demographics
NPI:1487946455
Name:MURRIA, ERIN DALE (MA, LLPC, CAC-R)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:DALE
Last Name:MURRIA
Suffix:
Gender:M
Credentials:MA, LLPC, CAC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 WASHINGTON BLVD
Mailing Address - Street 2:APT. 2914
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-1732
Mailing Address - Country:US
Mailing Address - Phone:313-623-9962
Mailing Address - Fax:
Practice Address - Street 1:6130 COCHISE DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2361
Practice Address - Country:US
Practice Address - Phone:248-752-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011534101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional