Provider Demographics
NPI:1891747028
Name:MURRAY, GINA A (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:A
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 NW 35TH PLACE
Mailing Address - Street 2:#702
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605
Mailing Address - Country:US
Mailing Address - Phone:352-273-5320
Mailing Address - Fax:352-273-5342
Practice Address - Street 1:2820 NW 35TH PLACE
Practice Address - Street 2:#702
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605
Practice Address - Country:US
Practice Address - Phone:352-273-5320
Practice Address - Fax:352-273-5342
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
802003176OtherCFARS
FL766168100Medicaid