Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICA CHARELLE MANGRUM
Active Sole ProprietorERICA CHARELLE MANGRUM is a Professional Counselor healthcare provider located in BRODNAX, Virginia. NPI 1083419881 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BRODNAX, VA
Registration Details
- NPI Number
- 1083419881
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2025 (1.4629879864844 yrs)
- Last Updated
- Feb 17, 2025
- License
-
0701012779 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
74 PINE HILL CTBRODNAX, VA, 239203330Browse VA providers · Browse ZIP 23920
- Phone
- 4346370914
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.