Provider Demographics
NPI:1922725779
Name:MURPHY, KEVIN (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 BRECKENRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4214
Mailing Address - Country:US
Mailing Address - Phone:406-202-1858
Mailing Address - Fax:
Practice Address - Street 1:419 BRECKENRIDGE ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4214
Practice Address - Country:US
Practice Address - Phone:406-202-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-57545101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health