Provider Demographics
NPI:1578039640
Name:RUTHERFORD, MICHELLE MURPHY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MURPHY
Last Name:RUTHERFORD
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10935 MAJOR OAK DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-5445
Mailing Address - Country:US
Mailing Address - Phone:225-335-0388
Mailing Address - Fax:
Practice Address - Street 1:10935 MAJOR OAK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-5445
Practice Address - Country:US
Practice Address - Phone:225-335-0388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional