Provider Demographics
NPI:1619610987
Name:MURPHY, CAROL A (LPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4565 DRESSLER RD NW STE 112
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2576
Mailing Address - Country:US
Mailing Address - Phone:330-765-5160
Mailing Address - Fax:330-645-2031
Practice Address - Street 1:4565 DRESSLER RD NW STE 112
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2576
Practice Address - Country:US
Practice Address - Phone:330-765-5160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2103319-TRNE101Y00000X
OHC-2204583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor