Provider Demographics
NPI:1235598079
Name:VALERIE STANSBERRY, MS, LPC, CRC, LLC
Entity Type:Organization
Organization Name:VALERIE STANSBERRY, MS, LPC, CRC, LLC
Other - Org Name:SONDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:TENILLE
Authorized Official - Last Name:STANSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-291-9491
Mailing Address - Street 1:709 BEECHURST AVE STE 14B
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-4689
Mailing Address - Country:US
Mailing Address - Phone:304-291-9491
Mailing Address - Fax:
Practice Address - Street 1:709 BEECHURST AVE STE 14B
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-4689
Practice Address - Country:US
Practice Address - Phone:304-291-9491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2054101Y00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty