Provider Demographics
NPI:1427466218
Name:MURPHY, SUSAN W (LPC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:W
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:W
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:4020 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5822
Mailing Address - Country:US
Mailing Address - Phone:205-879-7957
Mailing Address - Fax:
Practice Address - Street 1:17 OFFICE PARK CIR STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2561
Practice Address - Country:US
Practice Address - Phone:205-879-7957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health