Provider Demographics
NPI:1982934402
Name:DARKS, SCOTT WADE (MA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:WADE
Last Name:DARKS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MUSIC VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2714
Mailing Address - Country:US
Mailing Address - Phone:615-824-3772
Mailing Address - Fax:615-447-1065
Practice Address - Street 1:105 MUSIC VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2714
Practice Address - Country:US
Practice Address - Phone:615-824-3772
Practice Address - Fax:615-447-1065
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health