Provider Demographics
NPI:1306206099
Name:MURPHY, KIRA (LCPC, ATR)
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 N LAKESIDE PLZ
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-6930
Mailing Address - Country:US
Mailing Address - Phone:630-390-9833
Mailing Address - Fax:
Practice Address - Street 1:1608 W COLONIAL PKWY
Practice Address - Street 2:STE 207
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60067-4755
Practice Address - Country:US
Practice Address - Phone:847-710-5710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008991101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional