MEDICARE: MACMUR HEALTHCARE CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LA2200X	Adult Health Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	101YM0800X	Mental Health Counselor
4	101YP2500X	Professional Counselor
5	171400000X	Health & Wellness Coach
6	261QM0855X	Adolescent and Children Mental Health Clinic/Center
7	261QM0850X	Adult Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1568087369	OTHER	VA	INSURANCE
3	1437769627	OTHER	VA	INSURANCE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023882263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MACMUR HEALTHCARE CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 4651
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-0651
Country	:	US
Telephone Number	:	757-769-0571
Fax Number	:	757-432-3199

Provider Business Practice Location Address
First Line	:	550 FIRST COLONIAL ROAD SUITE 308
Second Line	:	4651
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5664
Country	:	US
Telephone Number	:	757-769-0571
Fax Number	:	757-432-3199

Authorized Official
Title or Position	:	OWNER
Name	:	KENITA MURRAY
Credential	:	DNP, FNP-BC, PMHNP-B
Telephone Number	:	757-769-0157

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	12/29/2024

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