Healthcare Provider Details

I. General information

NPI: 1972809317
Provider Name (Legal Business Name): HEATHER A. MURAS MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 HIGHWAY 169 N STE 210
NEW HOPE MN
55428-4019
US

IV. Provider business mailing address

4900 HIGHWAY 169 N STE 210
NEW HOPE MN
55428-4019
US

V. Phone/Fax

Practice location:
  • Phone: 952-452-0643
  • Fax: 763-432-7920
Mailing address:
  • Phone: 952-452-0643
  • Fax: 763-432-7920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2079
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: