MEDICARE: MARY MURRAY L.P.C, C.A.C.II

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	7284	CO
2	101YP2500X	Professional Counselor	5269	CO

General Provider Information

NPI Number	:	1962830976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY MURRAY L.P.C, C.A.C.II

Provider Business Mailing Address
First Line	:	6343 W 120TH AVE STE 105
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-3701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1632 WANEKA LAKE TRL
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-1272
Country	:	US
Telephone Number	:	303-665-3833
Fax Number	:

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

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	10/30/2013

Similar Medicare Providers

1427341346 — DR. BENJAMIN CLARK MURPHY M.D.
Practice Location Address:

280 EXEMPLA CIR
LAFAYETTE, CO
80026-3370

Practice Phone: 303-338-4545
Practice Fax:

1558045815 — DR. CAITLIN KAYOKO YOSHIMORI AU.D.
Practice Location Address:

280 EXEMPLA CIR
LAFAYETTE, CO
80026-3370

Practice Phone: 303-338-4545
Practice Fax:

1003526948 — INTUITIVE LIFE WELLNESS LLC
Practice Location Address:

1415 CRETE CT APT E
LAFAYETTE, CO
80026-2834

Practice Phone: 309-267-2534
Practice Fax:

1578328696 — FELICITY OLSON LCSW
Practice Location Address:

2770 DAGNY WAY STE 202
LAFAYETTE, CO
80026-8013

Practice Phone: 719-299-8345
Practice Fax:

1174223630 — TAYLOR SUTTON AC-C
Practice Location Address:

1455 DIXON AVE
LAFAYETTE, CO
80026-8879

Practice Phone: 303-443-8500
Practice Fax:

1487277646 — RACHEL HOWARD
Practice Location Address:

1455 DIXON AVE
LAFAYETTE, CO
80026-8879

Practice Phone: 888-949-4864
Practice Fax:

Directions to “ MARY MURRAY L.P.C, C.A.C.II” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.