Provider Demographics
NPI:1689863599
Name:CALLIE MURRAY, LCSW, LLC
Entity Type:Organization
Organization Name:CALLIE MURRAY, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-737-1301
Mailing Address - Street 1:2721 N 400 E
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2393
Mailing Address - Country:US
Mailing Address - Phone:801-737-1301
Mailing Address - Fax:801-737-2478
Practice Address - Street 1:2721 N 400 E
Practice Address - Street 2:SUITE 8
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2393
Practice Address - Country:US
Practice Address - Phone:801-737-1301
Practice Address - Fax:801-737-2478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty