Provider Demographics
NPI:1912057068
Name:MURPHY, CAROL R (LMHC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:R
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MIRACLE STRIP PKWY SW
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-6613
Mailing Address - Country:US
Mailing Address - Phone:850-244-8448
Mailing Address - Fax:850-244-4888
Practice Address - Street 1:28 MIRACLE STRIP PKWY SW
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-6613
Practice Address - Country:US
Practice Address - Phone:850-244-8448
Practice Address - Fax:850-244-4888
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2901101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health