Provider Demographics
NPI:1740955467
Name:MURRAY, KINDELL (RMHC)
Entity type:Individual
Prefix:
First Name:KINDELL
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6635 FORT KING RD APT 316
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-4856
Mailing Address - Country:US
Mailing Address - Phone:315-235-8198
Mailing Address - Fax:
Practice Address - Street 1:6635 FORT KING RD APT 316
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-4856
Practice Address - Country:US
Practice Address - Phone:315-235-8198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17790101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)