Provider Demographics
NPI:1275056558
Name:HUMPHREY, SYLVIA (MFTT)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:HUMPHREY
Suffix:
Gender:F
Credentials:MFTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 BROWN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-2257
Mailing Address - Country:US
Mailing Address - Phone:330-687-5683
Mailing Address - Fax:
Practice Address - Street 1:883 BROWN ST UNIT B
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-2257
Practice Address - Country:US
Practice Address - Phone:330-687-5683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSA532680172A00000X
174200000X, 251E00000X, 253Z00000X, 332U00000X, 376J00000X
OHM.2300353-TRNE106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No172A00000XOther Service ProvidersDriver
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No376J00000XNursing Service Related ProvidersHomemaker