Provider Demographics
NPI:1184971103
Name:MURRAY, MILLICENT MCCASKILL (LMHC, MS/EDS)
Entity type:Individual
Prefix:MRS
First Name:MILLICENT
Middle Name:MCCASKILL
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMHC, MS/EDS
Other - Prefix:MS
Other - First Name:MILLICENT
Other - Middle Name:JANE
Other - Last Name:MCCASKILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, MS/EDS
Mailing Address - Street 1:2711 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-1366
Mailing Address - Country:US
Mailing Address - Phone:850-273-3425
Mailing Address - Fax:
Practice Address - Street 1:2711 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-1366
Practice Address - Country:US
Practice Address - Phone:850-273-3425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health