| Shannon M Murphy Llc | |
|
8735 Dunwoody Pl # 5995 Atlanta GA 30350-2995 | |
| (678) 315-2710 | |
| Not Available |
| Full Name | Shannon M Murphy Llc |
|---|---|
| Speciality | Counselor |
| Location | 8735 Dunwoody Pl # 5995, Atlanta, Georgia |
| Authorized Official Name and Position | Shannon Murphy (PRESIDENT) |
| Authorized Official Contact | 6782030855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon M Murphy Llc 8735 Dunwoody Pl # 5995 Atlanta GA 30350-2995 Ph: (678) 315-2710 | Shannon M Murphy Llc 8735 Dunwoody Pl # 5995 Atlanta GA 30350-2995 Ph: (678) 315-2710 |
| NPI Number | 1578392361 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Medicare PECOS PAC ID | 8628509080 |
|---|---|
| Medicare Enrollment ID | O20241009002536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578392361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Shannon Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083077556 PECOS PAC ID: 9537690995 Enrollment ID: I20241009002645 |
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