Provider Demographics
NPI:1396148144
Name:HEATHER L. MURRAY LCSW AND ASSOCIATES IN PSYCHOTHERAPY
Entity type:Organization
Organization Name:HEATHER L. MURRAY LCSW AND ASSOCIATES IN PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAP
Authorized Official - Phone:561-702-9340
Mailing Address - Street 1:126 BUTTONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-7120
Mailing Address - Country:US
Mailing Address - Phone:561-702-9340
Mailing Address - Fax:561-369-8356
Practice Address - Street 1:950 N CONGRESS AVE
Practice Address - Street 2:SUITE J-230
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3328
Practice Address - Country:US
Practice Address - Phone:561-702-9340
Practice Address - Fax:561-369-8356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP-2854101YA0400X
FLSW-72791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHJ996AOtherPTAN