Provider Demographics
NPI:1992820534
Name:MURPHY, CHARLES K (LMHC, RC)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:K
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LMHC, RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LAMBETH PARK DR
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-4734
Mailing Address - Country:US
Mailing Address - Phone:508-992-5978
Mailing Address - Fax:508-999-7188
Practice Address - Street 1:4 LAMBETH PARK DR
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-4734
Practice Address - Country:US
Practice Address - Phone:508-992-5978
Practice Address - Fax:508-999-7188
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1151225C00000X
MA12139101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor