Provider Demographics
NPI:1164636452
Name:MURRAY, HEATHER LYNN (LCSW, CAP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LYNN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LCSW, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 BUTTONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-7120
Mailing Address - Country:US
Mailing Address - Phone:561-702-9340
Mailing Address - Fax:561-369-8356
Practice Address - Street 1:950 N CONGRESS AVE
Practice Address - Street 2:SUITE J 230
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3328
Practice Address - Country:US
Practice Address - Phone:561-702-9340
Practice Address - Fax:561-369-8356
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2854101YA0400X
FLSW 72791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCAP 2854OtherFL CERTIFICATON BOARD
FLSW 7279OtherDEPT OF HEALTH LICENSE