Provider Demographics
NPI:1528312832
Name:MURPHY, KIM C (LMHC)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:C
Last Name:MURPHY
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 1:7232 W SAND LAKE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5260
Mailing Address - Country:US
Mailing Address - Phone:321-352-2258
Mailing Address - Fax:407-286-6465
Practice Address - Street 1:7232 W SAND LAKE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5260
Practice Address - Country:US
Practice Address - Phone:321-352-2258
Practice Address - Fax:407-363-6707
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11974101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health