Provider Demographics
NPI:1710664255
Name:MURRAY, SIMONNE (NCSC)
Entity Type:Individual
Prefix:
First Name:SIMONNE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:NCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 PASTURE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28458-8544
Mailing Address - Country:US
Mailing Address - Phone:910-284-8494
Mailing Address - Fax:
Practice Address - Street 1:1014 PASTURE BRANCH RD
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:NC
Practice Address - Zip Code:28458-8544
Practice Address - Country:US
Practice Address - Phone:910-284-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1248937101YS0200X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool