Provider Demographics
NPI:1184991614
Name:SCURRY, CANDICE R (LPC-S)
Entity type:Individual
Prefix:MS
First Name:CANDICE
Middle Name:R
Last Name:SCURRY
Suffix:
Gender:
Credentials:LPC-S
Other - Prefix:MS
Other - First Name:CANDICE
Other - Middle Name:
Other - Last Name:SCURRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-S
Mailing Address - Street 1:25031 WESTHEIMER PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7317
Mailing Address - Country:US
Mailing Address - Phone:704-588-5570
Mailing Address - Fax:
Practice Address - Street 1:25031 WESTHEIMER PKWY STE 500
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7317
Practice Address - Country:US
Practice Address - Phone:704-588-5570
Practice Address - Fax:832-218-1979
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008623101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
TX82171101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health