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NPI Code Detail

MEDICARE: MR. SCOTT MICHAEL BORNE M.ED., L.P.C.

MEDICARE: MR. SCOTT MICHAEL BORNE M.ED., L.P.C.
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
1101YP2500XProfessional Counselor2578LA

General Provider Information

NPI Number : 1437469616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT MICHAEL BORNE M.ED., L.P.C.
Provider Business Mailing Address
First Line : 318 WESTWOOD DR
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-8904
Country : US
Telephone Number : 504-975-6061
Fax Number :
Provider Business Practice Location Address
First Line : 823 CARROLL ST
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-5126
Country : US
Telephone Number : 985-674-5475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2010
Last Update Date : 12/02/2025

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