1871909648 NPI number — MS. MELANIE ANN MURPHEY LCSW

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871909648 NPI number — MS. MELANIE ANN MURPHEY LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURPHEY
Provider First Name:
MELANIE
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871909648
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25511 BUDDE RD
Provider Second Line Business Mailing Address:
CAMERON BLDG., SUITE 502
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77380-2080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-844-9200
Provider Business Mailing Address Fax Number:
281-719-5539

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25511 BUDDE RD
Provider Second Line Business Practice Location Address:
BENTLEY BLDG., SUITE 1902
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77380-2080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-341-9488
Provider Business Practice Location Address Fax Number:
281-719-5539
Provider Enumeration Date:
07/01/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  S38879 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)