Provider Demographics
NPI:1396017836
Name:MURPHY, LANEISHA J (LPC)
Entity Type:Individual
Prefix:MS
First Name:LANEISHA
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 ORCHARD LAKE RD STE 180-151
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-1604
Mailing Address - Country:US
Mailing Address - Phone:248-895-8309
Mailing Address - Fax:
Practice Address - Street 1:4301 ORCHARD LAKE RD STE 180-151
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-1604
Practice Address - Country:US
Practice Address - Phone:248-895-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012855101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional