Provider Demographics
NPI:1912636440
Name:HOWARD, MURRAY LUCILLE
Entity type:Individual
Prefix:
First Name:MURRAY
Middle Name:LUCILLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 FOUR WINDS PL
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8646
Mailing Address - Country:US
Mailing Address - Phone:540-597-8370
Mailing Address - Fax:
Practice Address - Street 1:1240 WINNOWING WAY UNIT 102
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7531
Practice Address - Country:US
Practice Address - Phone:843-396-2724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health