Provider Demographics
NPI:1003405606
Name:HARRISON, SCARLETT LOUISE (MSW)
Entity type:Individual
Prefix:
First Name:SCARLETT
Middle Name:LOUISE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 OAKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SYLVAN LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1739
Mailing Address - Country:US
Mailing Address - Phone:989-750-2791
Mailing Address - Fax:
Practice Address - Street 1:31205 23 MILE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-1848
Practice Address - Country:US
Practice Address - Phone:586-213-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical