Provider Demographics
NPI:1932100377
Name:MURDEN, LOUIS D (LISW)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:D
Last Name:MURDEN
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 ASH LITTLE RIVER RD NW
Mailing Address - Street 2:
Mailing Address - City:ASH
Mailing Address - State:NC
Mailing Address - Zip Code:28420-1717
Mailing Address - Country:US
Mailing Address - Phone:910-287-4022
Mailing Address - Fax:843-692-7185
Practice Address - Street 1:4722 HIGHWAY 17 BYP S
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-1624
Practice Address - Country:US
Practice Address - Phone:843-293-2300
Practice Address - Fax:843-293-2305
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC52991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical