Healthcare Provider Details

I. General information

NPI: 1295573160
Provider Name (Legal Business Name): MS. KRISTIN MARIE MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTIN MARIE MURRAY MCLAUGHLIN

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 KINGFISHER DR
KISSIMMEE FL
34759-4420
US

IV. Provider business mailing address

5366 CENTRAL FLORIDA PKWY STE 1076
ORLANDO FL
32821-8772
US

V. Phone/Fax

Practice location:
  • Phone: 321-423-5501
  • Fax: 321-524-0290
Mailing address:
  • Phone: 321-423-5501
  • Fax: 321-524-0290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH28298
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: