Provider Demographics
NPI:1023614781
Name:SPURLOCK, SEON ELIZABETH (LMFT)
Entity type:Individual
Prefix:
First Name:SEON
Middle Name:ELIZABETH
Last Name:SPURLOCK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7548 PRESTON RD STE 141
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5689
Mailing Address - Country:US
Mailing Address - Phone:678-683-4960
Mailing Address - Fax:214-940-4696
Practice Address - Street 1:7548 PRESTON RD STE 141
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5689
Practice Address - Country:US
Practice Address - Phone:678-683-4960
Practice Address - Fax:214-975-5692
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203913106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41795170Medicaid
TX61-1757254OtherMENTAL HEALTH
TX101YP2500XMedicaid
TX7099Medicaid