Healthcare Provider Details

I. General information

NPI: 1164535522
Provider Name (Legal Business Name): BETTY SCOTT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 HARRISON ST
BATESVILLE AR
72501-7417
US

IV. Provider business mailing address

2230 HARRISON ST
BATESVILLE AR
72501-7417
US

V. Phone/Fax

Practice location:
  • Phone: 870-698-2100
  • Fax: 870-698-0109
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number978-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: