Provider Demographics
NPI:1003362286
Name:SCOTT, ALLIE BALDWIN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ALLIE
Middle Name:BALDWIN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12340 JONES RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4863
Mailing Address - Country:US
Mailing Address - Phone:281-894-7222
Mailing Address - Fax:
Practice Address - Street 1:12340 JONES RD
Practice Address - Street 2:SUITE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4863
Practice Address - Country:US
Practice Address - Phone:281-894-7222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70252101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional