Doctor Name: | MS. SARA WILSON SCOTT |
NPI Number: | 1275680365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, LPC-MHSP |
License Number: | LPC0000001785 |
Business Practice Address: | 3735 N Mount Juliet Rd Suite 102 Mt Juliet, TN - 371223060 |
Business Phone Number: | 6157584158 |
Business Fax Number: | 6157584128 |
Mailing Address: | 704 Crown Ct, OLD HICKORY |
State: | TN |
Postal Code: | 371382334 |
Phone Number: | 6157584158 |
Fax Number: | 6157584128 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC0000001785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |