Provider Demographics
NPI:1194944322
Name:MURRAY, PATRICIA ELIZABETH (PHD, LPC, NCC, ACS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ELIZABETH
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PHD, LPC, NCC, ACS
Other - Prefix:DR
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC, NCC, ACS
Mailing Address - Street 1:512 S FOREST LN
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-9680
Mailing Address - Country:US
Mailing Address - Phone:704-473-0578
Mailing Address - Fax:
Practice Address - Street 1:21 E WOODROW AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3142
Practice Address - Country:US
Practice Address - Phone:704-473-0578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional