Provider Demographics
NPI:1639851272
Name:SPURLOCK, ADRIANA GABRIELLE (LCSW)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:GABRIELLE
Last Name:SPURLOCK
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4570 HIGHWAY 80 APT 703
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-9406
Mailing Address - Country:US
Mailing Address - Phone:318-829-9171
Mailing Address - Fax:
Practice Address - Street 1:4570 HIGHWAY 80 APT 703
Practice Address - Street 2:
Practice Address - City:HAUGHTON
Practice Address - State:LA
Practice Address - Zip Code:71037-9406
Practice Address - Country:US
Practice Address - Phone:318-829-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA149011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical