Provider Demographics
NPI:1841785615
Name:MCCARTHY EPPS, CARYN ALEXIS (MA, SCL, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:ALEXIS
Last Name:MCCARTHY EPPS
Suffix:
Gender:F
Credentials:MA, SCL, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28282 GETTYSBURG ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-3129
Mailing Address - Country:US
Mailing Address - Phone:248-324-1498
Mailing Address - Fax:
Practice Address - Street 1:28282 GETTYSBURG ST STE 101
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3129
Practice Address - Country:US
Practice Address - Phone:248-324-1498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011926101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional