Provider Demographics
NPI:1508609678
Name:SCOTT, ISIS KEIR MACOLE
Entity type:Individual
Prefix:
First Name:ISIS
Middle Name:KEIR MACOLE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 HEATHER ST
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-2861
Mailing Address - Country:US
Mailing Address - Phone:910-922-9529
Mailing Address - Fax:
Practice Address - Street 1:5500 HEATHER ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-2861
Practice Address - Country:US
Practice Address - Phone:910-922-9529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker