Provider Demographics
NPI:1073010336
Name:MURRAY, ALICIA LINDSEY (LMHC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:LINDSEY
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 E GENESEE ST # 146
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:NY
Mailing Address - Zip Code:13214-2229
Mailing Address - Country:US
Mailing Address - Phone:315-491-7841
Mailing Address - Fax:
Practice Address - Street 1:2318 MARKLAND RD
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:NY
Practice Address - Zip Code:13084-9702
Practice Address - Country:US
Practice Address - Phone:315-333-7773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008611101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health