ERICKA TIPHANY FREDERICK SCL, LLC
NPI 1871376764
Counselor in Southfield, MI
- Individual
- Female
- Counselor
About ERICKA FREDERICK
This page provides the complete NPI Profile along with additional information for Ericka Frederick, a provider established in Southfield, Michigan with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1871376764 assigned on August 2023. The practitioner's primary taxonomy code is 101Y00000X with license number 6451023222 (MI). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1871376764 Verify this NPI
- Provider Name
- ERICKA TIPHANY FREDERICK SCL, LLC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 29425 NORTHWESTERN HWY STE 215 SOUTHFIELD, MI 48034
- Location Phone
- (248) 327-7409
- Mailing Address
- 31278 SCHOENHERR RD APT 5 WARREN, MI 48088
- Mailing Phone
- (313) 658-5133
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-15-2023
- Last Update Date
- 08-15-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6451023222
- License State
- MI
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871376764, enumerated as an "individual" on August 15, 2023.
The provider is located at 29425 NORTHWESTERN HWY STE 215 SOUTHFIELD, MI 48034 and the phone number is (248) 327-7409.
Counselor with taxonomy code 101Y00000X.
