Provider Demographics
NPI:1306145883
Name:MURRAY, HELEN JESSUP (LMHC)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:JESSUP
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 43RD AVE
Mailing Address - Street 2:SUITE C-11
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-0504
Mailing Address - Country:US
Mailing Address - Phone:772-770-4501
Mailing Address - Fax:772-770-4501
Practice Address - Street 1:1850 43RD AVE
Practice Address - Street 2:SUITE C-11
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-770-4501
Practice Address - Fax:772-770-4501
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002973101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6457OtherBCBS