MEDICARE: ESSENCE SCOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1144922287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESSENCE SCOTT

Provider Business Mailing Address
First Line	:	2122 NEW MARKET VILLAGE BLVD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-5176
Country	:	US
Telephone Number	:	203-709-0446
Fax Number	:

Provider Business Practice Location Address
First Line	:	2405 WESTWOOD AVE STE C
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-4006
Country	:	US
Telephone Number	:	804-203-2843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	03/21/2023

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Directions to “ ESSENCE SCOTT ” Practice Location

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