Provider Demographics
NPI:1598799074
Name:SCOTT, LEROY (LPC)
Entity type:Individual
Prefix:MR
First Name:LEROY
Middle Name:
Last Name:SCOTT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9212 FRY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5487
Mailing Address - Country:US
Mailing Address - Phone:225-405-5895
Mailing Address - Fax:281-846-6109
Practice Address - Street 1:2855 MANGUM RD STE A415
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-7493
Practice Address - Country:US
Practice Address - Phone:225-405-5895
Practice Address - Fax:281-846-6109
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84794101YA0400X, 101Y00000X, 101YP2500X
FL5965101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional