Provider Demographics
NPI:1558497271
Name:SCOTT, ADMINDA (EDD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:ADMINDA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:EDD, LMHC
Other - Prefix:DR
Other - First Name:ADMINDA
Other - Middle Name:I
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD, LMHC
Mailing Address - Street 1:18 FERRIN DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHWICK
Mailing Address - State:MA
Mailing Address - Zip Code:01077-9265
Mailing Address - Country:US
Mailing Address - Phone:413-505-4822
Mailing Address - Fax:413-998-3221
Practice Address - Street 1:1233 WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3806
Practice Address - Country:US
Practice Address - Phone:413-505-4822
Practice Address - Fax:413-998-3221
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10396101YM0800X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist