Healthcare Provider Details

I. General information

NPI: 1699433342
Provider Name (Legal Business Name): ROBERT CYRIL MURPHY LADC, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 FRANCE AVE S STE 4256600
EDINA MN
55435-1805
US

IV. Provider business mailing address

250 6TH ST E APT 312
SAINT PAUL MN
55101-1955
US

V. Phone/Fax

Practice location:
  • Phone: 952-243-8300
  • Fax:
Mailing address:
  • Phone: 720-635-6980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number5670
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number306411
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: