Healthcare Provider Details

I. General information

NPI: 1114864378
Provider Name (Legal Business Name): FRANCIS ANDREA MURILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 N BOONE ST STE 600
JOHNSON CITY TN
37604-5675
US

IV. Provider business mailing address

207 N BOONE ST STE 600
JOHNSON CITY TN
37604-5675
US

V. Phone/Fax

Practice location:
  • Phone: 865-338-5384
  • Fax: 865-338-5383
Mailing address:
  • Phone: 865-338-5384
  • Fax: 865-338-5383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: