Provider Demographics
NPI:1174014849
Name:MURPHY, CRISTINA B (LPC, CCMHC)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:B
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 INDIAN RIVER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:WA
Mailing Address - Zip Code:23464-5252
Mailing Address - Country:US
Mailing Address - Phone:757-472-4982
Mailing Address - Fax:757-282-5929
Practice Address - Street 1:5505 INDIAN RIVER RD STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:WA
Practice Address - Zip Code:23464-5252
Practice Address - Country:US
Practice Address - Phone:757-472-4982
Practice Address - Fax:757-282-5929
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health