MEDICARE: SARA MURPHY PLMHP

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	101YM0800X	Mental Health Counselor	12774	NE

General Provider Information

NPI Number	:	1184394140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MURPHY PLMHP

Provider Business Mailing Address
First Line	:	11404 W DODGE RD STE 600
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-2593
Country	:	US
Telephone Number	:	898-111-3402
Fax Number	:

Provider Business Practice Location Address
First Line	:	11404 W DODGE RD STE 600
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-2593
Country	:	US
Telephone Number	:	898-111-3402
Fax Number	:

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

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	09/20/2021

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Directions to “ SARA MURPHY PLMHP” Practice Location

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