Provider Demographics
NPI:1528510047
Name:CRAUN, MICHELLE MURRAY (LMFT, QS)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MURRAY
Last Name:CRAUN
Suffix:
Gender:F
Credentials:LMFT, QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5598 A1A SOUTH
Mailing Address - Street 2:
Mailing Address - City:ST. AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-7475
Mailing Address - Country:US
Mailing Address - Phone:386-854-1343
Mailing Address - Fax:
Practice Address - Street 1:1301 PLANTATION ISLAND DR S
Practice Address - Street 2:201B
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-3108
Practice Address - Country:US
Practice Address - Phone:904-770-7685
Practice Address - Fax:904-770-7817
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist