Provider Demographics
NPI:1104022326
Name:WILCOX, SCOTT RICHARD (LPCS)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:RICHARD
Last Name:WILCOX
Suffix:
Gender:M
Credentials:LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 HOFFMEYER RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4077
Mailing Address - Country:US
Mailing Address - Phone:843-773-3061
Mailing Address - Fax:843-273-8784
Practice Address - Street 1:2141 HOFFMEYER RD STE A
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4077
Practice Address - Country:US
Practice Address - Phone:843-773-3061
Practice Address - Fax:843-272-8784
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional