Scott, Robert L

Scott, Robert L is an sole proprietor health care provider with primary practice located at 5600 Goodman Road Suite B, Olive Branch MS 38654. He 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 / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Scott, Robert L can be contacted via phone (662) 893-6556.

Contact Information

Primary practice address
5600 Goodman Road Suite B Olive Branch MS 38654
Phone: (662) 893-6556
Fax: (662) 893-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AD04-038S Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X TO158 Mississippi

Profile Details

NPI number 1669516266
LBN Legal business name Scott, Robert L
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669516266 NPPES
Other 4060799 BLUE CROSS BLUE SHIELD TN
Other 0007541221 BLUE CROSS BLUE SHIELD TN
Other 497541 BLUE CROSS BLUE SHIELD TN
Other 215522 BLUE CROSS BLUE SHIELD TN

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