Provider Demographics
NPI:1912735754
Name:MURTAUGH, JILL K (LMSW)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:K
Last Name:MURTAUGH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6430 VISTA BUTTE
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2755
Mailing Address - Country:US
Mailing Address - Phone:262-442-5159
Mailing Address - Fax:
Practice Address - Street 1:5835 CALLAGHAN RD STE 203
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1224
Practice Address - Country:US
Practice Address - Phone:210-239-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58686101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health