Provider Demographics
NPI:1558078535
Name:SCOTT, BRIANNA M (MA LLPC)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:M
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3826 MAPLELEAF RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-4055
Mailing Address - Country:US
Mailing Address - Phone:313-204-1257
Mailing Address - Fax:
Practice Address - Street 1:1760 S TELEGRAPH RD STE 240
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0180
Practice Address - Country:US
Practice Address - Phone:248-256-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health