Provider Demographics
NPI:1912050246
Name:MURPHY, TIMOTHEA IGNATIUS (LMFT)
Entity Type:Individual
Prefix:
First Name:TIMOTHEA
Middle Name:IGNATIUS
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15105 NW 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2828
Mailing Address - Country:US
Mailing Address - Phone:352-472-2888
Mailing Address - Fax:352-472-2888
Practice Address - Street 1:900 NW 8TH AVE
Practice Address - Street 2:STE# 1 (1ST FLOOR)
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-5059
Practice Address - Country:US
Practice Address - Phone:352-472-2888
Practice Address - Fax:352-472-2888
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist