Provider Demographics
NPI:1497649974
Name:SCOTT & CO. SUPPORTIVE LIVING
Entity type:Organization
Organization Name:SCOTT & CO. SUPPORTIVE LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXUS
Authorized Official - Middle Name:BREANNA
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-487-0946
Mailing Address - Street 1:6735 MILLERS POND CIR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-8692
Mailing Address - Country:US
Mailing Address - Phone:901-487-0946
Mailing Address - Fax:
Practice Address - Street 1:6735 MILLERS POND CIR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8692
Practice Address - Country:US
Practice Address - Phone:901-487-0946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health