Organization
LAKE ERIE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIFIA ELAINE HERON MD (CEO)
(814) 454-3192
Entity
Organization
Contact information
Practice address
3216 STATE ST, ERIE, PA 16508
(814) 812-2633
Mailing address
3216 STATE ST, ERIE, PA 16508-2822
(814) 454-3192
(814) 454-3190
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD458004
PA
Other
Enumeration date
10/27/2017
Last updated
11/17/2020
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