Healthcare Provider Details

I. General information

NPI: 1679484406
Provider Name (Legal Business Name): BRIANNA MURRIE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 VAN BUREN ST
HOLLYWOOD FL
33020-5186
US

IV. Provider business mailing address

17398 EGO AVE
EASTPOINTE MI
48021-3102
US

V. Phone/Fax

Practice location:
  • Phone: 313-908-0851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27254
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: