Provider Demographics
NPI:1912651340
Name:MURPHY, CINDY (LPC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 PLANTERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BOGART
Mailing Address - State:GA
Mailing Address - Zip Code:30622-2081
Mailing Address - Country:US
Mailing Address - Phone:706-296-8097
Mailing Address - Fax:
Practice Address - Street 1:500 N MILLEDGE AVE STE 203
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-3810
Practice Address - Country:US
Practice Address - Phone:706-296-8097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty