MEDICARE: MURPHYCOUNSELINGSERVICES

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	251C00000X	Developmentally Disabled Services Day Training Agency	8301976S	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8301976S	OTHER	NC	PYSCHOSOCIAL REHABILITION

General Provider Information

NPI Number	:	1316133911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MURPHYCOUNSELINGSERVICES

Provider Business Mailing Address
First Line	:	719 FISHER CREEK RD
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-7708
Country	:	US
Telephone Number	:	828-586-3081
Fax Number	:	828-586-3570

Provider Business Practice Location Address
First Line	:	719 FISHER CREEK RD
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-7708
Country	:	US
Telephone Number	:	828-586-3081
Fax Number	:	828-586-3570

Authorized Official
Title or Position	:	SUPERVISOR
Name	:	MRS. SHARI LYNN ANDERSON
Credential	:
Telephone Number	:	828-586-3081

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	09/18/2007

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