Provider Demographics
NPI:1811555659
Name:HALPIN, MOLLY ANN (LPCC, LMFT)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:HALPIN
Suffix:
Gender:F
Credentials:LPCC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6906 BECKINGHAM BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-4881
Mailing Address - Country:US
Mailing Address - Phone:859-475-3484
Mailing Address - Fax:
Practice Address - Street 1:6906 BECKINGHAM BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-4881
Practice Address - Country:US
Practice Address - Phone:859-475-3484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY274937101YM0800X
KY275036106H00000X
KY247384101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist