Provider Demographics
NPI:1730695974
Name:JESSICA S MURPHY
Entity type:Organization
Organization Name:JESSICA S MURPHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER SOLE PROPIETER/LPC
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:ATR-BC, CADC, LPC
Authorized Official - Phone:412-230-8668
Mailing Address - Street 1:50 GREENBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1815
Mailing Address - Country:US
Mailing Address - Phone:412-230-8668
Mailing Address - Fax:
Practice Address - Street 1:50 GREENBRIAR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1815
Practice Address - Country:US
Practice Address - Phone:412-230-8668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
221700000X
PAPC005322101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1760790679OtherJESSICA SOMMER MURPHY