Provider Demographics
NPI:1730427329
Name:MURPHY, TAMMY P (LPCA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:P
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7422 FISH POND RD
Mailing Address - Street 2:
Mailing Address - City:SIMS
Mailing Address - State:NC
Mailing Address - Zip Code:27880-9622
Mailing Address - Country:US
Mailing Address - Phone:252-236-6075
Mailing Address - Fax:252-235-2465
Practice Address - Street 1:7422 FISH POND RD
Practice Address - Street 2:
Practice Address - City:SIMS
Practice Address - State:NC
Practice Address - Zip Code:27880-9622
Practice Address - Country:US
Practice Address - Phone:252-236-6075
Practice Address - Fax:252-235-2465
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9432101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health