Provider Demographics
NPI:1508947847
Name:SCOTT, STEVEN ROBERT (LPC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ROBERT
Last Name:SCOTT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5172 VILLAGE CREEK DR
Mailing Address - Street 2:SUITE #101
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4445
Mailing Address - Country:US
Mailing Address - Phone:972-380-1842
Mailing Address - Fax:775-908-1038
Practice Address - Street 1:5172 VILLAGE CREEK DR
Practice Address - Street 2:SUITE #101
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4445
Practice Address - Country:US
Practice Address - Phone:972-380-1842
Practice Address - Fax:775-908-1038
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional