Organization Name: | CALLIE MURRAY, LCSW, LLC |
NPI Number: | 1689863599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CALLIE MURRAY (THERAPIST) |
Mailing Address: | 2721 N 400 E Suite 8 North Ogden |
State: | UT US |
Postal Code: | 844142393 |
Phone Number: | 8017371301 |
Fax Number: | 8017372478 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |