Provider Demographics
NPI:1104081470
Name:MORPHET, CARI YVONNE (MS, LPC)
Entity type:Individual
Prefix:
First Name:CARI
Middle Name:YVONNE
Last Name:MORPHET
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E 6100 S STE 315
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107
Mailing Address - Country:US
Mailing Address - Phone:801-747-1754
Mailing Address - Fax:801-747-1793
Practice Address - Street 1:151 E 6100 S STE 315
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107
Practice Address - Country:US
Practice Address - Phone:801-747-1754
Practice Address - Fax:801-747-1793
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6227452-6004101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health