Provider Demographics
NPI:1962843318
Name:MURPHY, LYNNE PETERSON (LCPC)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:PETERSON
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25792 W AUGUST LN
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-8404
Mailing Address - Country:US
Mailing Address - Phone:847-494-6012
Mailing Address - Fax:
Practice Address - Street 1:2615 THREE OAKS RD
Practice Address - Street 2:2A
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-6127
Practice Address - Country:US
Practice Address - Phone:847-494-6012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180.008656OtherLICENSED CLINICAL PROFESSIONAL COUNSELOR