Provider Demographics
NPI:1679385330
Name:STOGSDILL, ERIKA S (MA, LMHC-A)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:S
Last Name:STOGSDILL
Suffix:
Gender:F
Credentials:MA, LMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 E 725N
Mailing Address - Street 2:
Mailing Address - City:DUBOIS
Mailing Address - State:IN
Mailing Address - Zip Code:47527-9622
Mailing Address - Country:US
Mailing Address - Phone:317-699-5729
Mailing Address - Fax:
Practice Address - Street 1:3375 E 725N
Practice Address - Street 2:
Practice Address - City:DUBOIS
Practice Address - State:IN
Practice Address - Zip Code:47527-9622
Practice Address - Country:US
Practice Address - Phone:317-699-5729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002581A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health