Provider Demographics
NPI:1942989900
Name:SCOTT, FALISHA (TLPC)
Entity Type:Individual
Prefix:
First Name:FALISHA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:TLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 E MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-4332
Mailing Address - Country:US
Mailing Address - Phone:316-244-7512
Mailing Address - Fax:
Practice Address - Street 1:357 S LULU AVE # 5
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-1714
Practice Address - Country:US
Practice Address - Phone:316-244-7512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC04325-T101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional