ERICA GRAHAM


Address: 105 Bradford Sq Ste A, Fayetteville, GA 30215-1974
Phone: 7707423876

ERICA GRAHAM (NPI# 1245887868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245887868
Entity Type Individual
Full Name ERICA GRAHAM
Other Name ERICA BUTLER
Practice Address 105 Bradford Sq Ste A
Fayetteville
GA 30215-1974
Mailing Address 105 Bradford Square
Ste A
Fayetteville
GA 30215-1974
Practice Telephone 7707423876
Practice Fax Number 7707423855
Mailing Telephone 7707423846
Mailing Fax Number 7707423855
Enumeration Date 2019-08-19
Last Update Date 2019-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers ERICA GRAHAM

NPI Name Taxonomy Address Enumeration
1912528076 Erica Michelle Graham Pharmacist 6501 Harbison Ave, Philadelphia, PA 19149-2912 2020-04-29
1811304819 Erica Graham Speech-Language Pathologist 550 W Frontage Rd, Suite 2451, Northfield, IL 60093-1202 2014-07-22

Office Location

Street Address 105 BRADFORD SQ STE A
City FAYETTEVILLE
State GA
Zip Code 30215-1974

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801370051 Truly Nourished, LLC Dietitian, Registered 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 2018-09-23
1104343839 Pandora G Brown Specialist 65 Black Watch Ct, Fayetteville, GA 30215 2017-08-23
1902264492 Ty-re Lamont Dixon Sr. Durable Medical Equipment & Medical Supplies 220 Shoreline Dr., Fayetteville, GA 30215 2016-01-29
1962870030 Matthew Christian Alvarez Dentist 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 2015-09-08
1831534346 Kevin Tyler Goelz Radiology 605 Wentworth Ct, Fayetteville, GA 30215 2013-05-10
1518249739 William J. Holcomb Pharmacist 880 Hwy 85 South, Fayetteville, GA 30215 2011-09-14
1407168131 All Care Home Health Equipment, LLC Durable Medical Equipment & Medical Supplies 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 2010-07-10
1083854160 Rachel Blanks Licensed Practical Nurse 170 Brookwood Lane, Fayetteville, GA 30215 2009-03-02
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1174700769 Katheryn D. Mcdonell Counselor 110 Dawn Drive, Fayetteville, GA 30215 2008-01-25
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790390094 Jessica Shellman Counselor 408 Person St. Ste 103, Fayetteville, NC 28301 2020-09-14
1831704691 Adriana Londono Counselor 418 Person St Ste 103, Fayetteville, NC 28301-5886 2020-09-09
1881203487 Finfa, Inc. Counselor 2026 Corrinna St, Fayetteville, NC 28301-3622 2020-07-29
1326657875 Jeanette Middle Jordan-huffam Office Counselor 3911 W Bent Grass Dr, Fayetteville, NC 28312-8791 2020-07-29
1942824354 Daytoria Marie Rhone Counselor 7816 Klondyke Dr, Fayetteville, NC 28311-9249 2020-06-01
1508486853 Vivian M Davis Counselor 1022 Brookhollow Dr Apt 9, Fayetteville, NC 28314-1108 2020-04-16
1982255956 Courtney Washington Counselor 1777 Michelle Ct, Fayetteville, NC 28304-5558 2019-09-21
1982251104 Inspiring Change Counselor 111 Lamon St Ste 113, Fayetteville, NC 28301-4917 2019-08-22
1316502040 Bettina Rochelle Melvin Counselor 1425 Avoncroft Dr, Fayetteville, NC 28306-3567 2019-05-08
1770041592 Johnnie Lefuel Wilson Iv Counselor 6307 Melody Ln, Fayetteville, NC 28304-5554 2019-03-11
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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