Healthcare Provider Details

I. General information

NPI: 1558725812
Provider Name (Legal Business Name): AMANDA MURPHY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7140 OFFICE PARK DR
WEST CHESTER OH
45069
US

IV. Provider business mailing address

1501 MADISON RD
WALNUT HILLS OH
45206-1706
US

V. Phone/Fax

Practice location:
  • Phone: 513-777-2428
  • Fax:
Mailing address:
  • Phone: 513-354-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC1600075
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1800684
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: