Provider Demographics
NPI:1477319473
Name:MURPHY, MICHELLE RACHEL ANN (LMHP-R)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RACHEL ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 MCDONOUGH ST APT 5114
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2016
Mailing Address - Country:US
Mailing Address - Phone:202-534-7408
Mailing Address - Fax:
Practice Address - Street 1:1429 MCDONOUGH ST APT 5114
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2016
Practice Address - Country:US
Practice Address - Phone:202-534-7408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704013482101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health