=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649565698
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MAURICE WILLIAM MURRAY III MSW, LCSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2011
-----------------------------------------------------
Last Update Date | 06/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 311 OLD HAW CREEK RD
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28805-1401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-319-1825
-----------------------------------------------------
Fax | 828-417-3532
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 TEEMS LN
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28805-1679
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-319-1825
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | LCAS-14891
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | C008391
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------