Provider Demographics
NPI:1205193661
Name:SCOTT, NATALIE MARIE (LMHC, LPC, MAC, CS)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMHC, LPC, MAC, CS
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:MARIE
Other - Last Name:FRYAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-0565
Mailing Address - Country:US
Mailing Address - Phone:360-385-0321
Mailing Address - Fax:
Practice Address - Street 1:14 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-3502
Practice Address - Country:US
Practice Address - Phone:803-435-9545
Practice Address - Fax:803-435-8896
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
508223101YA0400X
WACP60613550101YA0400X
SC1111012101YA0400X
SC5126101YP2500X
WALH60610392101YP2500X, 101YM0800X
SC5474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional