MEDICARE: MS. HEATHER LYNN MURRAY LCSW, CAP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	2854	FL
2	1041C0700X	Clinical Social Worker	SW 7279	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CAP 2854	OTHER	FL	FL CERTIFICATON BOARD
2	SW 7279	OTHER	FL	DEPT OF HEALTH LICENSE

General Provider Information

NPI Number	:	1164636452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER LYNN MURRAY LCSW, CAP

Provider Business Mailing Address
First Line	:	126 BUTTONWOOD LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-7120
Country	:	US
Telephone Number	:	561-702-9340
Fax Number	:	561-369-8356

Provider Business Practice Location Address
First Line	:	950 N CONGRESS AVE
Second Line	:	SUITE J 230
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-3328
Country	:	US
Telephone Number	:	561-702-9340
Fax Number	:	561-369-8356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	06/19/2013

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