Provider Demographics
NPI:1518392943
Name:MURPHY, ANASTASIA HALLAS (LPCC)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:HALLAS
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-4308
Mailing Address - Country:US
Mailing Address - Phone:505-709-0019
Mailing Address - Fax:
Practice Address - Street 1:1031 6TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4308
Practice Address - Country:US
Practice Address - Phone:505-709-0019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0185751101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional