Provider Demographics
NPI:1619675279
Name:SCOTT, CHARA ANN (LPC)
Entity Type:Individual
Prefix:
First Name:CHARA
Middle Name:ANN
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 1:4908 WHITEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6228
Mailing Address - Country:US
Mailing Address - Phone:757-636-5452
Mailing Address - Fax:
Practice Address - Street 1:258 N WITCHDUCK RD STE 1A
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6556
Practice Address - Country:US
Practice Address - Phone:757-385-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional