Provider Demographics
NPI:1508414608
Name:MURRAY-WILLIAMS, STACY ALLYN (LPC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:ALLYN
Last Name:MURRAY-WILLIAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:STACY
Other - Middle Name:ALLYN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:3003 W MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-2026
Mailing Address - Country:US
Mailing Address - Phone:208-538-4747
Mailing Address - Fax:208-697-5216
Practice Address - Street 1:320 11TH AVE S STE 205
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-5074
Practice Address - Country:US
Practice Address - Phone:208-538-4747
Practice Address - Fax:208-697-5216
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-31
Last Update Date:2019-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID7357101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health