Healthcare Provider Details

I. General information

NPI: 1912613407
Provider Name (Legal Business Name): LETITIA SCOTT PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S GALVEZ ST
NEW ORLEANS LA
70125-3102
US

IV. Provider business mailing address

PO BOX 165
HOUMA LA
70361-0165
US

V. Phone/Fax

Practice location:
  • Phone: 504-332-5713
  • Fax:
Mailing address:
  • Phone: 985-333-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number229240
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: