Provider Demographics
NPI:1437786829
Name:MURRAY, DIANAMAE D (LMFT-A)
Entity Type:Individual
Prefix:
First Name:DIANAMAE
Middle Name:D
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5805
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79704-5805
Mailing Address - Country:US
Mailing Address - Phone:432-853-8444
Mailing Address - Fax:
Practice Address - Street 1:203 W WALL ST STE 201
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-4510
Practice Address - Country:US
Practice Address - Phone:432-853-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203612106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty