Provider Demographics
NPI:1053587766
Name:BOOKER, ERICKA DENISE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:DENISE
Last Name:BOOKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ERICKA
Other - Middle Name:DENISE
Other - Last Name:HEMMINGWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLPC
Mailing Address - Street 1:259 N MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-3407
Mailing Address - Country:US
Mailing Address - Phone:734-756-3757
Mailing Address - Fax:
Practice Address - Street 1:259 N MADISON AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-3407
Practice Address - Country:US
Practice Address - Phone:734-756-3757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010789101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional