| Organization Name: | SCOTT WARREN MARKS |
| NPI Number: | 1659587939 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT WARREN MARKS (OWNER) |
| Mailing Address: | 4757 Main Ave Groves |
| State: | TX US |
| Postal Code: | 776194740 |
| Phone Number: | 4099632331 |
| Fax Number: | 4099632346 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |