Erickson, Lesley A

Erickson, Lesley A is an individual health care provider with primary practice located at 6660 Blair Ln , Holland MI 49424-7443. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Erickson, Lesley A can be contacted via phone (616) 796-9595.

Contact Information

Primary practice address
6660 Blair Ln Holland MI 49424-7443
Phone: (616) 796-9595
Fax: (616) 796-9596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6801078320 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6801078320 Michigan

Profile Details

NPI number 1750441234
LBN Legal business name Erickson, Lesley A
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750441234 NPPES
Michigan MEDICAID 1712452

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