Provider Demographics
NPI:1518851955
Name:BLOUNT MURRAY, SAPPHIRA LOUISE (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:SAPPHIRA
Middle Name:LOUISE
Last Name:BLOUNT MURRAY
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:MRS
Other - First Name:SAPPHIRA
Other - Middle Name:BLOUNT
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:PINE LAKE
Mailing Address - State:GA
Mailing Address - Zip Code:30072-0366
Mailing Address - Country:US
Mailing Address - Phone:404-918-9211
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 366
Practice Address - Street 2:
Practice Address - City:PINE LAKE
Practice Address - State:GA
Practice Address - Zip Code:30072-0366
Practice Address - Country:US
Practice Address - Phone:404-918-9211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW182421041C0700X
GACSW0059591041C0700X
103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis