Healthcare Provider Details

I. General information

NPI: 1992940308
Provider Name (Legal Business Name): PAMELA GAIL MURRAY MSSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2008
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 MERIDIAN ST
NASHVILLE TN
37207-5759
US

IV. Provider business mailing address

PO BOX 78144 914 MERIDIAN STREET
NASHVILLE TN
37207-8144
US

V. Phone/Fax

Practice location:
  • Phone: 615-474-9456
  • Fax:
Mailing address:
  • Phone: 615-474-9456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number3163
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3163
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3163
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801083747
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number3163
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: