Provider Demographics
NPI:1528813441
Name:THOMAS MURPHY, PROFESSIONAL COUNSELING LLC
Entity type:Organization
Organization Name:THOMAS MURPHY, PROFESSIONAL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-322-4165
Mailing Address - Street 1:2517 COPPERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-5975
Mailing Address - Country:US
Mailing Address - Phone:417-322-4165
Mailing Address - Fax:
Practice Address - Street 1:413 HISTORIC 66 W
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65583-2114
Practice Address - Country:US
Practice Address - Phone:573-774-4198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty