Provider Demographics
NPI:1366950016
Name:MURPHY, JAMES D (MMFT, LMFT, NBC-HWC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MMFT, LMFT, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 GREENS PRAIRIE RD W STE 101
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8400
Mailing Address - Country:US
Mailing Address - Phone:979-429-3077
Mailing Address - Fax:
Practice Address - Street 1:1645 GREENS PRAIRIE RD W STE 101
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8400
Practice Address - Country:US
Practice Address - Phone:979-429-3076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2024-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
TX201856106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach