Provider Demographics
NPI:1245536929
Name:MURPHY, MARIA A (MA, LMHC, LCPC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA, LMHC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5422 FIRST COAST HWY
Mailing Address - Street 2:SUITE 116
Mailing Address - City:AMELIA ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32034-5423
Mailing Address - Country:US
Mailing Address - Phone:904-261-7022
Mailing Address - Fax:800-210-5660
Practice Address - Street 1:5422 FIRST COAST HWY
Practice Address - Street 2:SUITE 116
Practice Address - City:AMELIA ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32034-5423
Practice Address - Country:US
Practice Address - Phone:904-261-7022
Practice Address - Fax:800-210-5660
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10588101YP2500X
IL180.003736101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional