Provider Demographics
NPI:1427941541
Name:MURRAY, VALISA (LLPC)
Entity type:Individual
Prefix:
First Name:VALISA
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20174 YONKA ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-1832
Mailing Address - Country:US
Mailing Address - Phone:313-949-7411
Mailing Address - Fax:
Practice Address - Street 1:628 E PARENT AVE STE 109
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3766
Practice Address - Country:US
Practice Address - Phone:313-403-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451012023101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional