Basic Information
Provider Information
NPI: 1508231309
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY-SANCHEZ
FirstName: MEGHAN
MiddleName: EILEEN
NamePrefix: MS.
NameSuffix:  
Credential: LCPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5608 ZUNI RD SE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871082926
CountryCode: US
TelephoneNumber: 7739636845
FaxNumber:  
Practice Location
Address1: 5608 ZUNI RD SE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871082926
CountryCode: US
TelephoneNumber: 5052626597
FaxNumber: 5052657045
Other Information
ProviderEnumerationDate: 12/04/2015
LastUpdateDate: 10/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X180009990ILN Behavioral Health & Social Service ProvidersCounselorProfessional
101YP2500X0193471NMY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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