Healthcare Provider Details

I. General information

NPI: 1194850859
Provider Name (Legal Business Name): MURRELL COUNSELING SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E SUNSHINE ST STE 312
SPRINGFIELD MO
65804-1883
US

IV. Provider business mailing address

2200 E SUNSHINE ST STE 312
SPRINGFIELD MO
65804-1883
US

V. Phone/Fax

Practice location:
  • Phone: 417-881-1580
  • Fax: 417-881-7004
Mailing address:
  • Phone: 417-881-1580
  • Fax: 417-881-7004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPYO1215
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPYO1874
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPYO1137
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPYO029922
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberPYO1874
License Number StateMO
# 6
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2002032352
License Number StateMO

VIII. Authorized Official

Name: DR. MICHAEL DAVID MURRELL
Title or Position: DIRECTOR
Credential: PSY. D.
Phone: 417-881-1580