Provider Demographics
NPI:1013770619
Name:MURPHY, BRIAN T (MS, LPC-MHSP (TEMP))
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:T
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MS, LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 21ST AVE S STE 306
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4929
Mailing Address - Country:US
Mailing Address - Phone:615-582-2882
Mailing Address - Fax:
Practice Address - Street 1:2200 21ST AVE S STE 306
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4929
Practice Address - Country:US
Practice Address - Phone:615-582-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4734101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health