Provider Demographics
NPI:1134206931
Name:MURRAY, DONNA L (LPCC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:L
Other - Last Name:ELEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:197 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SHADY SPRING
Mailing Address - State:WV
Mailing Address - Zip Code:25918-8436
Mailing Address - Country:US
Mailing Address - Phone:304-573-5141
Mailing Address - Fax:
Practice Address - Street 1:197 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:SHADY SPRING
Practice Address - State:WV
Practice Address - Zip Code:25918-8436
Practice Address - Country:US
Practice Address - Phone:304-573-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVLPC2305101YA0400X, 101YP2500X
NC16255101YM0800X
OHE0004003S101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health