Provider Demographics
NPI:1477907871
Name:KATELIN MURPHY, LPC, ATR, LLC
Entity Type:Organization
Organization Name:KATELIN MURPHY, LPC, ATR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATELIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:262-470-0432
Mailing Address - Street 1:712 VISTA BLVD # 143
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-4559
Mailing Address - Country:US
Mailing Address - Phone:262-470-0432
Mailing Address - Fax:612-524-7949
Practice Address - Street 1:712 VISTA BLVD.
Practice Address - Street 2:143
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-5538
Practice Address - Country:US
Practice Address - Phone:262-470-0432
Practice Address - Fax:612-524-7949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4843125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty