Provider Demographics
NPI:1164553921
Name:ROWLAND, SCOTTIE LEON (LPC)
Entity Type:Individual
Prefix:MR
First Name:SCOTTIE
Middle Name:LEON
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:SCOT
Other - Middle Name:LEON
Other - Last Name:ROWLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:8378 HAM RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-9440
Mailing Address - Country:US
Mailing Address - Phone:601-679-1527
Mailing Address - Fax:601-679-5548
Practice Address - Street 1:8378 HAM RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-9440
Practice Address - Country:US
Practice Address - Phone:601-679-1527
Practice Address - Fax:601-679-5548
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0968101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional