Provider Demographics
NPI:1548773716
Name:SHEILA MURRAY, LCPC, LLC
Entity Type:Organization
Organization Name:SHEILA MURRAY, LCPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-314-8439
Mailing Address - Street 1:305 1ST AVE W STE 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-3625
Mailing Address - Country:US
Mailing Address - Phone:406-314-8439
Mailing Address - Fax:406-892-4606
Practice Address - Street 1:305 1ST AVE W STE 4
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-3625
Practice Address - Country:US
Practice Address - Phone:406-314-8439
Practice Address - Fax:406-892-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1261101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty