Healthcare Provider Details

I. General information

NPI: 1023882263
Provider Name (Legal Business Name): MACMUR HEALTHCARE CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 12/29/2024
Certification Date: 12/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 FIRST COLONIAL ROAD SUITE 308 4651
VIRGINIA BEACH VA
23454-5664
US

IV. Provider business mailing address

PO BOX 4651
VIRGINIA BEACH VA
23454-0651
US

V. Phone/Fax

Practice location:
  • Phone: 757-769-0571
  • Fax: 757-432-3199
Mailing address:
  • Phone: 757-769-0571
  • Fax: 757-432-3199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KENITA MURRAY
Title or Position: OWNER
Credential: DNP, FNP-BC, PMHNP-B
Phone: 757-769-0157