Healthcare Provider Details

I. General information

NPI: 1033990734
Provider Name (Legal Business Name): ALLIE MURPHY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 NE 3RD ST
MADISON SD
57042-2435
US

IV. Provider business mailing address

357 KANSAS AVE SE
HURON SD
57350-2517
US

V. Phone/Fax

Practice location:
  • Phone: 605-256-9656
  • Fax:
Mailing address:
  • Phone: 605-352-8596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

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: