Provider Demographics
NPI:1225469158
Name:MURPHY, KIMBERLY (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-9315
Mailing Address - Country:US
Mailing Address - Phone:989-619-2293
Mailing Address - Fax:
Practice Address - Street 1:114 N COURT AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1469
Practice Address - Country:US
Practice Address - Phone:989-619-2293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional