Healthcare Provider Details

I. General information

NPI: 1275454126
Provider Name (Legal Business Name): SCOTT ALAN THOMPSON MS, NCC, ALC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 CHESTNUT DR STE C
MADISON AL
35758-9525
US

IV. Provider business mailing address

146 STONE MEADOW LN
MADISON AL
35758-2540
US

V. Phone/Fax

Practice location:
  • Phone: 615-777-9303
  • Fax:
Mailing address:
  • Phone: 404-520-1951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAL06086
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: