MEDICARE: MRS. ANGELA MARIE MURPHY L.P.C.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPCC.0013361	CO

General Provider Information

NPI Number	:	1619397304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA MARIE MURPHY L.P.C.C.

Provider Business Mailing Address
First Line	:	3090 WOODVIEW CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4635
Country	:	US
Telephone Number	:	719-233-6468
Fax Number	:

Provider Business Practice Location Address
First Line	:	629 N WEBER ST
Second Line	:	SUITE 5
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1043
Country	:	US
Telephone Number	:	719-233-6468
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	12/30/2014

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