Provider Demographics
NPI:1154952604
Name:STANSBURY, SCARLETT (PLPC, PLMFT)
Entity type:Individual
Prefix:MRS
First Name:SCARLETT
Middle Name:
Last Name:STANSBURY
Suffix:
Gender:F
Credentials:PLPC, PLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 EVANGELINE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3723
Mailing Address - Country:US
Mailing Address - Phone:318-654-7010
Mailing Address - Fax:318-878-6698
Practice Address - Street 1:2905 EVANGELINE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3723
Practice Address - Country:US
Practice Address - Phone:318-654-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor