Healthcare Provider Details

I. General information

NPI: 1548787435
Provider Name (Legal Business Name): LATRICE LASHAY SCOTT MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

871 VENETIA BAY BLVD STE 310
VENICE FL
34285-8054
US

IV. Provider business mailing address

871 VENETIA BAY BLVD STE 310
VENICE FL
34285-8054
US

V. Phone/Fax

Practice location:
  • Phone: 941-346-6465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC14176
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17162
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: