Provider Demographics
NPI:1508223603
Name:MURPHY, CYNTHIA JACKSON
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JACKSON
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 WASHINGTON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ARCADIA
Mailing Address - State:LA
Mailing Address - Zip Code:71001-4302
Mailing Address - Country:US
Mailing Address - Phone:318-579-5105
Mailing Address - Fax:318-579-5106
Practice Address - Street 1:1770 WASHINGTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ARCADIA
Practice Address - State:LA
Practice Address - Zip Code:71001-4302
Practice Address - Country:US
Practice Address - Phone:318-579-5105
Practice Address - Fax:318-579-5106
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant