Provider Demographics
NPI:1538788856
Name:MURRAY, CHASTITY (EDD, LMHC, NCSP)
Entity type:Individual
Prefix:DR
First Name:CHASTITY
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:EDD, LMHC, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 LEXINGTON AVE UNIT 13601
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14613-7019
Mailing Address - Country:US
Mailing Address - Phone:585-978-2701
Mailing Address - Fax:
Practice Address - Street 1:1577 W RIDGE RD STE 214
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-2511
Practice Address - Country:US
Practice Address - Phone:585-978-2701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY46125103TS0200X
NY006863101YM0800X
FLTPMC3597101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool