Healthcare Provider Details

I. General information

NPI: 1235863812
Provider Name (Legal Business Name): ANTHONY MURER LPC, NCC, ADHD-CCSP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S BYRNE RD
TOLEDO OH
43615-6212
US

IV. Provider business mailing address

111 S BYRNE RD
TOLEDO OH
43615-6212
US

V. Phone/Fax

Practice location:
  • Phone: 419-531-5544
  • Fax:
Mailing address:
  • Phone: 331-454-1785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2204274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: