Provider Demographics
NPI:1801804190
Name:MURRAY-GOLAY, ALEXIS G (LCPC)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:G
Last Name:MURRAY-GOLAY
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 1:1244 W ROSEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3453
Mailing Address - Country:US
Mailing Address - Phone:312-933-6760
Mailing Address - Fax:
Practice Address - Street 1:36 MAIN ST
Practice Address - Street 2:PARK RIDGE PSYCHOLOGICAL SERVICES
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4059
Practice Address - Country:US
Practice Address - Phone:847-692-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005679101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional