# LAKE ERIE BEHAVIORAL HEALTH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245742469
- **Authorized official:** SHERIFIA ELAINE HERON MD (CEO)
- **Authorized official phone:** (814) 454-3192

## Contact information

- **Practice address:** 3216 STATE ST, ERIE, PA 16508
- **Practice address phone:** (814) 812-2633
- **Mailing address:** 3216 STATE ST, ERIE, PA 16508-2822
- **Mailing address phone:** (814) 454-3192
- **Mailing address fax:** (814) 454-3190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD458004 | PA | Yes |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 11/17/2020