Scott, Jessie Ivelyn
Scott, Jessie Ivelyn is an sole proprietor health care provider with primary practice located at 165 Sabal Palm Dr Ste 151 , Longwood FL 32779-2593. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Scott, Jessie Ivelyn can be contacted via phone (407) 486-0239.Contact Information
Primary practice address
165 Sabal Palm Dr Ste 151
Longwood FL 32779-2593
Phone: (407) 486-0239
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH-15114 | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH-15114 | Florida |
Profile Details
NPI number | 1841599974 |
---|---|
LBN Legal business name | Scott, Jessie Ivelyn |
Credentials | M.A. LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2011 |
Last updated | Mar 26th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841599974 | NPPES |
Florida | MEDICAID | 021815800 |
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