Provider Demographics
NPI:1184783250
Name:SCOTT, GARY G (LMHC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:G
Last Name:SCOTT
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1258
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46015-1258
Mailing Address - Country:US
Mailing Address - Phone:765-649-8161
Mailing Address - Fax:765-641-8238
Practice Address - Street 1:493 WESTFIELD RD
Practice Address - Street 2:B
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1327
Practice Address - Country:US
Practice Address - Phone:317-776-3730
Practice Address - Fax:317-770-5424
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health