Basic Information
| Provider Information | |||||||||
| NPI: | 1083257190 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MURRELL | ||||||||
| FirstName: | BRITTNEY | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MA, LPCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5853 JONES RD | ||||||||
| Address2: | |||||||||
| City: | WALKERTOWN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 270519504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3369709530 | ||||||||
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| Practice Location | |||||||||
| Address1: | 650 HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | WINSTON SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271014304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366078523 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2019 | ||||||||
| LastUpdateDate: | 10/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | A15265 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.