Healthcare Provider Details

I. General information

NPI: 1295615474
Provider Name (Legal Business Name): TAMARA SCOTT CIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 WOODLAND DRIVE
LAPLACE LA
70068
US

IV. Provider business mailing address

PO BOX 453
NORCO LA
70079-0453
US

V. Phone/Fax

Practice location:
  • Phone: 504-405-8245
  • Fax:
Mailing address:
  • Phone: 504-405-8245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCIT-6041
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberOBHPSS993
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: