Provider Demographics
NPI:1316538069
Name:DELANEY, SCARLET STIORRA
Entity Type:Individual
Prefix:
First Name:SCARLET
Middle Name:STIORRA
Last Name:DELANEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22614 BIRCH RIDGE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1634
Mailing Address - Country:US
Mailing Address - Phone:925-565-3035
Mailing Address - Fax:
Practice Address - Street 1:22614 BIRCH RIDGE MEADOW DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1634
Practice Address - Country:US
Practice Address - Phone:925-565-3035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician