Provider Demographics
NPI:1285801522
Name:MURPHY, TARA LYNN (LPC/MHSP)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:LYNN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8507 CREEK STONE DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2739
Mailing Address - Country:US
Mailing Address - Phone:423-490-1163
Mailing Address - Fax:423-499-2317
Practice Address - Street 1:8507 CREEK STONE DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2739
Practice Address - Country:US
Practice Address - Phone:423-490-1163
Practice Address - Fax:423-499-2317
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1992101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional