Provider Demographics
NPI:1326116542
Name:RODNEY H. MCMURRAY LCSW INC.
Entity Type:Organization
Organization Name:RODNEY H. MCMURRAY LCSW INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:MCMURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:276-889-0425
Mailing Address - Street 1:PO BOX 1692
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-1692
Mailing Address - Country:US
Mailing Address - Phone:276-889-0425
Mailing Address - Fax:276-889-5135
Practice Address - Street 1:STONEBRUISE ROAD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266-1692
Practice Address - Country:US
Practice Address - Phone:276-889-0425
Practice Address - Fax:276-889-5135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904003057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8912670Medicaid