Provider Demographics
NPI:1053083683
Name:SICKLES, ERIKA CHRISTINE (LMHC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:CHRISTINE
Last Name:SICKLES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 ORCHID AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5649
Mailing Address - Country:US
Mailing Address - Phone:407-644-4692
Mailing Address - Fax:
Practice Address - Street 1:1505 ORCHID AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5649
Practice Address - Country:US
Practice Address - Phone:407-644-4692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1215965884OtherLUTHERAN COUNSELING SERVICES