Provider Demographics
NPI:1902662760
Name:STANSBURY, MARIA ISABEL (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ISABEL
Last Name:STANSBURY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 MOUNT ZION RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-7724
Mailing Address - Country:US
Mailing Address - Phone:845-568-7661
Mailing Address - Fax:
Practice Address - Street 1:5151 RESEARCH DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-5910
Practice Address - Country:US
Practice Address - Phone:256-722-8091
Practice Address - Fax:256-270-7019
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6273G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical