Provider Demographics
NPI:1447363437
Name:HARRINGTON, SUSAN GAYLE (LPC, LMFT, NCC)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:GAYLE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LPC, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1799 STUMPF BLVD.
Mailing Address - Street 2:BUILDING 3, SUITE 2
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-3950
Mailing Address - Country:US
Mailing Address - Phone:504-452-5937
Mailing Address - Fax:504-394-5012
Practice Address - Street 1:1799 STUMPF BLVD.
Practice Address - Street 2:BUILDING 3, SUITE 2
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-3950
Practice Address - Country:US
Practice Address - Phone:504-452-5937
Practice Address - Fax:504-394-5012
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2328101YP2500X
LA84106H00000X
LALMFT#84106H00000X
LALPC#2328101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor