Provider Demographics
NPI:1730851965
Name:MURPHY, TAMANTHA RENEE (LLMSW)
Entity type:Individual
Prefix:
First Name:TAMANTHA
Middle Name:RENEE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 JONES ST
Mailing Address - Street 2:
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-1312
Mailing Address - Country:US
Mailing Address - Phone:574-703-6253
Mailing Address - Fax:574-703-6253
Practice Address - Street 1:1124 AUSTIN
Practice Address - Street 2:
Practice Address - City:CASSOPOLIS
Practice Address - State:MI
Practice Address - Zip Code:49031-8310
Practice Address - Country:US
Practice Address - Phone:269-445-3833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2025-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851120811104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker