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NPI Code Detail

MEDICARE: DARCY SCOTT LPC

MEDICARE:   DARCY  SCOTT  LPC
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
1101YM0800XMental Health Counselor70163TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
170163OTHERTXLPC

General Provider Information

NPI Number : 1548820301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY SCOTT LPC
Provider Business Mailing Address
First Line : 6824 BAY CITY BND
Second Line :
City : AUSTIN
State : TX
Zip : 78725-2935
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4107 MEDICAL PKWY STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3736
Country : US
Telephone Number : 512-270-0809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2019
Last Update Date : 06/14/2019

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Directions to “ DARCY SCOTT LPC” Practice Location

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