Provider Demographics
NPI:1063915262
Name:MURPHY, ALISHA DANIELLE (AADC, ALC)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:DANIELLE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:AADC, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 6TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-1108
Mailing Address - Country:US
Mailing Address - Phone:256-453-7731
Mailing Address - Fax:256-937-7063
Practice Address - Street 1:1525 LEIGHTON AVE STE B
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-3805
Practice Address - Country:US
Practice Address - Phone:252-453-7731
Practice Address - Fax:256-937-7063
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL167101YA0400X
ALC3411A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC3411AOtherALC
AL167OtherAADC