Healthcare Provider Details

I. General information

NPI: 1295978211
Provider Name (Legal Business Name): MURRAY AND ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 MERTON DR SUITE 250
RALEIGH NC
27609
US

IV. Provider business mailing address

3900 MERTON DR SUITE 250
RALEIGH NC
27609
US

V. Phone/Fax

Practice location:
  • Phone: 919-876-2242
  • Fax: 919-876-2246
Mailing address:
  • Phone: 919-876-2242
  • Fax: 919-876-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number51019
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number51019
License Number StateNC

VIII. Authorized Official

Name: MR. LOUIS JOSEPH MURRAY JR.
Title or Position: EXECUTIVE DIRECTOR
Credential: BA
Phone: 919-876-2242