Provider Demographics
NPI:1679943542
Name:WATLINGTON, ERIN LYNN (MA, MDIV,, LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:WATLINGTON
Suffix:
Gender:F
Credentials:MA, MDIV,, LPC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LYNN
Other - Last Name:WATLINGTON-PERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA LPC
Mailing Address - Street 1:615 SHIPYARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-6431
Mailing Address - Country:US
Mailing Address - Phone:919-649-6770
Mailing Address - Fax:
Practice Address - Street 1:615 SHIPYARD BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-6431
Practice Address - Country:US
Practice Address - Phone:919-649-6770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-04
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional