Healthcare Provider Details

I. General information

NPI: 1295322360
Provider Name (Legal Business Name): MURPHY STANSBERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 W NEFF ST
MORRAL OH
43337-7503
US

IV. Provider business mailing address

380 W NEFF ST
MORRAL OH
43337-7503
US

V. Phone/Fax

Practice location:
  • Phone: 740-244-9697
  • Fax:
Mailing address:
  • Phone: 740-244-9697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCDCII.162103
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.181314
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: