Provider Demographics
NPI:1700531175
Name:SCURLOCK, KATHERINE (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SCURLOCK
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:CAREY
Other - Middle Name:
Other - Last Name:SCURLOCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NCC, LPC
Mailing Address - Street 1:6149 LOUISVILLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3026
Mailing Address - Country:US
Mailing Address - Phone:202-680-0601
Mailing Address - Fax:
Practice Address - Street 1:6149 LOUISVILLE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-3026
Practice Address - Country:US
Practice Address - Phone:202-680-0601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7526101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional