Healthcare Provider Details

I. General information

NPI: 1336339662
Provider Name (Legal Business Name): CHELSEA MURKLEY B.A., QMHA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 CHAD DR STE 350
EUGENE OR
97408-7602
US

IV. Provider business mailing address

3500 CHAD DR STE 350
EUGENE OR
97408-7602
US

V. Phone/Fax

Practice location:
  • Phone: 541-687-6983
  • Fax: 541-684-7638
Mailing address:
  • Phone: 541-687-6983
  • Fax: 541-684-7638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC6613
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: