Provider Demographics
NPI:1386862894
Name:WILLIAMS-MURRAY, TERRI (MA)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:WILLIAMS-MURRAY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-2730
Mailing Address - Country:US
Mailing Address - Phone:406-559-7330
Mailing Address - Fax:
Practice Address - Street 1:516 FULLER AVE STE 1
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3421
Practice Address - Country:US
Practice Address - Phone:406-559-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4993317OtherBLUE CROSS/BLUE SHIELD