Provider Demographics
NPI:1962256164
Name:MURPHY, LATORIA LAKAY
Entity type:Individual
Prefix:
First Name:LATORIA
Middle Name:LAKAY
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9360 MOSS PRESERVE PKWY APT 308
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6750
Mailing Address - Country:US
Mailing Address - Phone:850-879-3494
Mailing Address - Fax:
Practice Address - Street 1:9360 MOSS PRESERVE PKWY APT 308
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6750
Practice Address - Country:US
Practice Address - Phone:850-879-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical