Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Ann Mulloy

Individual provider Professional Counselor · NPI 1689400749

Carly Ann Mulloy is a Mental Health Counselor in Media, Pennsylvania. Qualified in 2022, 4 years ago. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2024

Practice location Address checks out

100 Yearsley Mill Rd
Media, PA 19063-5593
Phone: (484) 227-1439
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC017553 (PA)

Record details

NPI number1689400749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address215 Canford Dr, Broomall, PA 19008-3802

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Media