Provider Demographics
NPI:1124288220
Name:SKURTU, ANGELA LEE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LEE
Last Name:SKURTU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:LEE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:13610 BARRETT OFFICE DRIVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7818
Mailing Address - Country:US
Mailing Address - Phone:314-973-7997
Mailing Address - Fax:
Practice Address - Street 1:13610 BARRETT OFFICE DRIVE SUITE 214
Practice Address - Street 2:ST. LOUIS MARRIAGE THERAPY, ANGELA SKURTU
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63021-7818
Practice Address - Country:US
Practice Address - Phone:314-973-7997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MO2011031894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health