Provider Demographics
NPI:1780621797
Name:MARTIN, MURPHY COLSON (LPC/MHSP)
Entity type:Individual
Prefix:DR
First Name:MURPHY
Middle Name:COLSON
Last Name:MARTIN
Suffix:
Gender:M
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2581
Mailing Address - Country:US
Mailing Address - Phone:931-473-8279
Mailing Address - Fax:931-474-8326
Practice Address - Street 1:201 W MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2581
Practice Address - Country:US
Practice Address - Phone:931-473-8279
Practice Address - Fax:931-474-8326
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional