Provider Demographics
NPI:1629306626
Name:MURRAY, CONNIE RAYE (LADC-US, LPC-US)
Entity type:Individual
Prefix:MISS
First Name:CONNIE
Middle Name:RAYE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LADC-US, LPC-US
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4029 NW 23RD ST APT 212
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-2795
Mailing Address - Country:US
Mailing Address - Phone:405-768-2219
Mailing Address - Fax:
Practice Address - Street 1:4029 NW 23RD ST APT 212
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-2795
Practice Address - Country:US
Practice Address - Phone:405-768-2219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100742400DMedicaid
OK100742400BMedicaid
OK100742400FMedicaid