Healthcare Provider Details

I. General information

NPI: 1396517314
Provider Name (Legal Business Name): CARLEY IRWIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 W MARKET ST
AKRON OH
44313-7142
US

IV. Provider business mailing address

935 W MARKET ST
AKRON OH
44313-7142
US

V. Phone/Fax

Practice location:
  • Phone: 216-236-3127
  • Fax:
Mailing address:
  • Phone: 216-236-3127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2506790
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: