Provider Demographics
NPI:1609986132
Name:SCOTT, ROSEMARY LENORA (MA, LPA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:LENORA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, LPA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1796 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2498
Mailing Address - Country:US
Mailing Address - Phone:828-483-4504
Mailing Address - Fax:828-348-4255
Practice Address - Street 1:1796 HENDERSONVILLE RD STE M
Practice Address - Street 2:SAFE HARBOUR COUNSELING SERVICES, PLLC
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2499
Practice Address - Country:US
Practice Address - Phone:828-989-6191
Practice Address - Fax:828-348-4255
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011038101YM0800X
NC2462103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC190359OtherMEDCOST
NC6107180Medicaid