Provider Demographics
NPI:1831375831
Name:MURPHY, AMBER B (MS, LCPC, LAC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:B
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-3108
Mailing Address - Country:US
Mailing Address - Phone:406-628-4266
Mailing Address - Fax:406-628-4267
Practice Address - Street 1:217 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-3108
Practice Address - Country:US
Practice Address - Phone:406-628-4266
Practice Address - Fax:406-628-4267
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1438-LCPC101YM0800X
MT1228101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1902065006Medicaid
MT0320501Medicaid