Healthcare Provider Details

I. General information

NPI: 1154190304
Provider Name (Legal Business Name): RASCHELLE LYNN MURRAY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 CANTON RD NE STE 205
MARIETTA GA
30060-7242
US

IV. Provider business mailing address

780 CANTON RD NE
MARIETTA GA
30060-7241
US

V. Phone/Fax

Practice location:
  • Phone: 678-203-0506
  • Fax:
Mailing address:
  • Phone: 678-203-0506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP202441
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: