Provider Demographics
NPI:1396388088
Name:SCOTT, LEVETTE SUBRAINA (PHD LPC-A NCC)
Entity Type:Individual
Prefix:DR
First Name:LEVETTE
Middle Name:SUBRAINA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHD LPC-A NCC
Other - Prefix:DR
Other - First Name:LEVETTE
Other - Middle Name:
Other - Last Name:DAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD LPC-A NCC
Mailing Address - Street 1:8601 SIX FORKS RD STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5931
Mailing Address - Country:US
Mailing Address - Phone:919-294-8981
Mailing Address - Fax:
Practice Address - Street 1:5850 FAYETTEVILLE RD STE 211
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6289
Practice Address - Country:US
Practice Address - Phone:919-294-8981
Practice Address - Fax:252-433-0065
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1165636101Y00000X
NCA15071101YM0800X
NC1187002101YS0200X
NC15071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool