Provider Demographics
NPI:1770751919
Name:SARGENT, DONNA SCURLARK (LPC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:SCURLARK
Last Name:SARGENT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2463
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35201-2463
Mailing Address - Country:US
Mailing Address - Phone:205-410-9436
Mailing Address - Fax:888-212-0844
Practice Address - Street 1:105 VULCAN RD STE 300
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-4701
Practice Address - Country:US
Practice Address - Phone:205-410-9436
Practice Address - Fax:888-212-0844
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
AL2117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional