Healthcare Provider Details

I. General information

NPI: 1891822987
Provider Name (Legal Business Name): BRIANA MARIE MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CABRILLO HWY S
HALF MOON BAY CA
94019-8200
US

IV. Provider business mailing address

10012 NORWALK BLVD SUITE 110
SANTA FE SPRINGS CA
90670-3343
US

V. Phone/Fax

Practice location:
  • Phone: 650-573-3584
  • Fax:
Mailing address:
  • Phone: 562-906-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: