Provider Demographics
NPI:1053822015
Name:MURRELL, ROX ANN (LCADC,CCS, LPC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ROX ANN
Middle Name:
Last Name:MURRELL
Suffix:
Gender:F
Credentials:LCADC,CCS, LPC, LMHC
Other - Prefix:MS
Other - First Name:ROXANN
Other - Middle Name:
Other - Last Name:BOSTIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6193 SEVEN SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-1612
Mailing Address - Country:US
Mailing Address - Phone:856-563-4213
Mailing Address - Fax:
Practice Address - Street 1:6193 SEVEN SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-1612
Practice Address - Country:US
Practice Address - Phone:856-563-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00216800101YA0400X
PAPC009568101YP2500X
FLMH22013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional