Provider Demographics
NPI:1164618351
Name:ALT, ISABEL SCOTT (LPC)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:SCOTT
Last Name:ALT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:SCOTT
Other - Last Name:ALT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:4203 SAINT ANN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3628
Mailing Address - Country:US
Mailing Address - Phone:504-228-3240
Mailing Address - Fax:
Practice Address - Street 1:4902 CANAL ST # 205
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5840
Practice Address - Country:US
Practice Address - Phone:504-228-3240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2351101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health