Provider Demographics
NPI:1396016895
Name:MCPHERSON, CAROL LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:LYNN
Other - Last Name:RAMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1431 GREENWAY DR
Mailing Address - Street 2:SUITE 800
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2448
Mailing Address - Country:US
Mailing Address - Phone:972-870-4446
Mailing Address - Fax:972-870-9944
Practice Address - Street 1:1431 GREENWAY DR
Practice Address - Street 2:SUITE 800
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2448
Practice Address - Country:US
Practice Address - Phone:972-870-4446
Practice Address - Fax:972-870-9944
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-16
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61534101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional