Provider Demographics
NPI:1225154669
Name:SCOTT, SHANNON YARBROUGH (LPC)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:YARBROUGH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEW HOPE PROFESSIONAL PSYCHOLOGICAL SERVICES
Mailing Address - Street 2:405 W 5TH NORTH ST STE B
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6515
Mailing Address - Country:US
Mailing Address - Phone:843-832-8008
Mailing Address - Fax:843-832-8009
Practice Address - Street 1:NEW HOPE PROFESSIONAL PSYCHOLOGICAL SERVICES
Practice Address - Street 2:405 W. 5TH NORTH STREET, SUITE B
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6515
Practice Address - Country:US
Practice Address - Phone:843-832-8008
Practice Address - Fax:843-832-8009
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4951101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional