Healthcare Provider Details

I. General information

NPI: 1730047820
Provider Name (Legal Business Name): CONNOR MURPHY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12165 N STATE HWY 14
CEDAR CREST NM
87008-9461
US

IV. Provider business mailing address

2323 MOUNTAIN RD NW APT 7
ALBUQUERQUE NM
87104-1534
US

V. Phone/Fax

Practice location:
  • Phone: 505-913-7771
  • Fax:
Mailing address:
  • Phone: 505-681-9724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: