Provider Demographics
NPI:1619193422
Name:MCMURRAY, NATOYA NICOLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NATOYA
Middle Name:NICOLE
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3519 DEVON CHASE RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3685
Mailing Address - Country:US
Mailing Address - Phone:404-808-6713
Mailing Address - Fax:
Practice Address - Street 1:139 RALPH MCGILL BLVD NE
Practice Address - Street 2:STE 301
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-3339
Practice Address - Country:US
Practice Address - Phone:404-589-9040
Practice Address - Fax:404-589-1615
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0037871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical