Provider Demographics
NPI:1417000480
Name:SCOTT, MOLLY (EDD,LMHC)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:EDD,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 WARNER HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLEMONT
Mailing Address - State:MA
Mailing Address - Zip Code:01339-9748
Mailing Address - Country:US
Mailing Address - Phone:413-339-5501
Mailing Address - Fax:413-339-0144
Practice Address - Street 1:1 ASHFIELD ST
Practice Address - Street 2:SUITE #7
Practice Address - City:SHELBURNE FALLS
Practice Address - State:MA
Practice Address - Zip Code:01370-1422
Practice Address - Country:US
Practice Address - Phone:413-339-5501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC #1363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health