MEDICARE: BRYANT MURPHY LCPC, LCADC

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	00576-LC	NV
2	101YM0800X	Mental Health Counselor	MH24182	FL
3	101YP2500X	Professional Counselor	CP1289	NV

General Provider Information

NPI Number	:	1497145528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANT MURPHY LCPC, LCADC

Provider Business Mailing Address
First Line	:	6210 N JONES BLVD UNIT 753091
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89136-8945
Country	:	US
Telephone Number	:	702-469-2061
Fax Number	:

Provider Business Practice Location Address
First Line	:	4421 DESERT PARK AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89085-2322
Country	:	US
Telephone Number	:	702-469-2061
Fax Number	:

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

Provider Enumeration Date	:	01/27/2015
Last Update Date	:	05/22/2025

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