Individual
ERICA WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 W KINGSHIGHWAY STE 6, PARAGOULD, AR 72450-2645
(870) 215-0673
(870) 215-0683
Mailing address
PO BOX 11064, FAYETTEVILLE, AR 72703-1001
(870) 520-5014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P2510032
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231567795
—
AR
05
—
349961719
—
AR
Enumeration date
01/29/2019
Last updated
11/14/2025
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