Provider Demographics
NPI:1639804883
Name:MUSCARELLA, SUSAN ALAINA BROOK (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN ALAINA
Middle Name:BROOK
Last Name:MUSCARELLA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 LOMA LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1822
Mailing Address - Country:US
Mailing Address - Phone:337-349-7876
Mailing Address - Fax:
Practice Address - Street 1:3815 LOMA LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1822
Practice Address - Country:US
Practice Address - Phone:337-349-7876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional