Provider Demographics
NPI:1053703868
Name:MURPHY, ASHLEY (LPCA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 WEBSTER RD
Mailing Address - Street 2:E
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-6973
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:260 WEBSTER RD
Practice Address - Street 2:E
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-6973
Practice Address - Country:US
Practice Address - Phone:252-365-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC051399Medicaid