| Doctor Name: | MRS. ERIKA GIOIA THEODORIDES |
| NPI Number: | 1013215441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701004972 |
| Business Practice Address: | 1000 Jefferson St. Suite 2c Lynchburg, VA - 24504 |
| Business Phone Number: | 6173790496 |
| Business Fax Number: | 6178070958 |
| Mailing Address: | 1000 Jefferson St., Suite 2c LYNCHBURG |
| State: | VA |
| Postal Code: | 24504 |
| Phone Number: | 6173790496 |
| Fax Number: | 6178070958 |
| NPI Enumeration Date: | 03/09/2011 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701004972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |