Provider Demographics
NPI:1740875103
Name:BRENDA SCOTTON, LMSW, ACSW
Entity type:Organization
Organization Name:BRENDA SCOTTON, LMSW, ACSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SCOTTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, ACSW
Authorized Official - Phone:734-730-0016
Mailing Address - Street 1:2647 PARKLAWN DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-8639
Mailing Address - Country:US
Mailing Address - Phone:734-730-0016
Mailing Address - Fax:
Practice Address - Street 1:120 E LIBERTY ST STE 300A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2163
Practice Address - Country:US
Practice Address - Phone:734-730-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-07
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)