Healthcare Provider Details

I. General information

NPI: 1548482615
Provider Name (Legal Business Name): ANNETTE LILLIAN SCOTT B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 PRIMROSE AVE PEOPLE ENCOURAGING PEOPLE, INC.
BALTIMORE MD
21215-3305
US

IV. Provider business mailing address

3620 BOWERS AVE APT D
GWYNN OAK MD
21207-6967
US

V. Phone/Fax

Practice location:
  • Phone: 410-764-8560
  • Fax: 410-764-9114
Mailing address:
  • Phone: 443-939-4545
  • Fax: 410-764-9114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: