Provider Demographics
NPI:1710310644
Name:MURRAY, WILSON & ROSE COUNSELING AND BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:MURRAY, WILSON & ROSE COUNSELING AND BEHAVIORAL SERVICES
Other - Org Name:MWR COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER, CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:319-250-1267
Mailing Address - Street 1:1811 BOYSON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233
Mailing Address - Country:US
Mailing Address - Phone:319-250-1267
Mailing Address - Fax:319-200-4456
Practice Address - Street 1:1811 BOYSON RD
Practice Address - Street 2:SUITE A
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233
Practice Address - Country:US
Practice Address - Phone:319-250-1267
Practice Address - Fax:319-200-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA09096101YA0400X
IA001335101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty