Provider Demographics
NPI:1043949316
Name:SCOTT, DANAY
Entity Type:Individual
Prefix:
First Name:DANAY
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11428 ROYAL AMBER WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-9896
Mailing Address - Country:US
Mailing Address - Phone:919-213-1331
Mailing Address - Fax:919-741-4741
Practice Address - Street 1:11428 ROYAL AMBER WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-9896
Practice Address - Country:US
Practice Address - Phone:919-213-1331
Practice Address - Fax:919-741-4741
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NCA17697101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor