Provider Demographics
NPI:1609277755
Name:SCOTT, LINDA (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 ANNA KNAPP EXT
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5421
Mailing Address - Country:US
Mailing Address - Phone:843-810-6937
Mailing Address - Fax:843-654-9661
Practice Address - Street 1:1002 ANNA KNAPP EXT
Practice Address - Street 2:SUITE 203
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-5421
Practice Address - Country:US
Practice Address - Phone:843-810-6937
Practice Address - Fax:843-654-9661
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4745101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health