Individual provider · Type 1 NPI

Staussa C. Ervin, EDD, LPC

Mental Health Counselor · Fort Worth, TX

NPI number 1992031645 Active

Practice location

250 W Lancaster Ave Apt 1506
Fort Worth, TX 76102-6360

Call (817) 462-5057 Map

Fax (817) 462-5057

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X61666 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1992031645

Staussa C. Ervin, EDD, LPC's National Provider Identifier is 1992031645, issued on Oct 29, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 20, 2021.