Healthcare Provider Details

I. General information

NPI: 1497520027
Provider Name (Legal Business Name): TEJAL MURRAY THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 AGUA FRIA ST APT A203
SANTA FE NM
87507-5509
US

IV. Provider business mailing address

2725 AGUA FRIA ST APT A203
SANTA FE NM
87507-5509
US

V. Phone/Fax

Practice location:
  • Phone: 505-366-8984
  • Fax:
Mailing address:
  • Phone: 505-366-8984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSEPHINE TEJAL TEJAL MURRAY
Title or Position: CEO
Credential: LPCC
Phone: 505-366-8984