Basic Information
Provider Information
NPI: 1316089253
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SARRATT
FirstName: ERIC
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: LCMHC, LCAS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2197
Address2:  
City: SYLVA
State: NC
PostalCode: 287792197
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 131 WALNUT ST
Address2:  
City: WAYNESVILLE
State: NC
PostalCode: 287863250
CountryCode: US
TelephoneNumber: 8286313973
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2007
LastUpdateDate: 03/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X979NCN Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
101YP2500X4734NCY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


Home