Healthcare Provider Details

I. General information

NPI: 1437508603
Provider Name (Legal Business Name): MRS. BRITTNEY SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS BRITTNEY LACOUR

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TEXAS ST STE 1050-04
SHREVEPORT LA
71101-3525
US

IV. Provider business mailing address

141 ROSEMONT PL
BOSSIER CITY LA
71112-8797
US

V. Phone/Fax

Practice location:
  • Phone: 318-688-8218
  • Fax:
Mailing address:
  • Phone: 210-284-0143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: