Healthcare Provider Details

I. General information

NPI: 1457266512
Provider Name (Legal Business Name): SARA MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 S 3RD ST W
MISSOULA MT
59804-1139
US

IV. Provider business mailing address

1304 GRANITE CT
MISSOULA MT
59801-7079
US

V. Phone/Fax

Practice location:
  • Phone: 406-542-4025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberBBH-SWLC-APP-0009006
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: