Provider Demographics
NPI:1942035241
Name:ADOLPH, ERIKA (TLMHC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ADOLPH
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 340TH ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-7447
Mailing Address - Country:US
Mailing Address - Phone:712-260-1710
Mailing Address - Fax:
Practice Address - Street 1:2912 HIGHWAY BLVD
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-2154
Practice Address - Country:US
Practice Address - Phone:712-260-1710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA102067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health