Provider Demographics
NPI:1932693173
Name:SCOTT, GERALD HOWARD JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:HOWARD
Last Name:SCOTT
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22734 ASHLEY PINES DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-3256
Mailing Address - Country:US
Mailing Address - Phone:832-741-8281
Mailing Address - Fax:
Practice Address - Street 1:40 CYPRESS CREEK PKWY STE 351
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3530
Practice Address - Country:US
Practice Address - Phone:832-741-8281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-20
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76543101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional