Provider Demographics
NPI:1396849048
Name:SCOTT, MICHELLE YOLANDA (LMSN ACSN)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:YOLANDA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMSN ACSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19845 BUTTERNUT LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1795
Mailing Address - Country:US
Mailing Address - Phone:248-568-3711
Mailing Address - Fax:248-569-9410
Practice Address - Street 1:19845 BUTTERNUT LN
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1795
Practice Address - Country:US
Practice Address - Phone:248-515-6045
Practice Address - Fax:248-569-9410
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical