Organization
TIMOTHY D MURPHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MURPHY LMHC (OWNER)
(561) 373-4630
Entity
Organization
Contact information
Practice address
850 NW FEDERAL HWY STE 166, STUART, FL 34994-1019
(561) 373-4630
Mailing address
12420 SW WEEPING WILLOW AVE, PORT ST LUCIE, FL 34987-2839
(561) 373-4630
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14137636
CAQH
FL
Enumeration date
09/26/2022
Last updated
09/26/2022
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