Healthcare Provider Details

I. General information

NPI: 1609415074
Provider Name (Legal Business Name): CHRISTOPHER MURPHY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E 45TH ST STE 314
CLEVELAND OH
44127-1095
US

IV. Provider business mailing address

3100 E 45TH ST STE 314
CLEVELAND OH
44127-1095
US

V. Phone/Fax

Practice location:
  • Phone: 216-441-9622
  • Fax: 888-460-4717
Mailing address:
  • Phone: 216-441-9622
  • Fax: 888-460-4717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number193817
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: