Healthcare Provider Details

I. General information

NPI: 1144140161
Provider Name (Legal Business Name): SCOTT ERROL SALVESEN PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 1 BOX 169
WILLOW SPRINGS MO
65793-9603
US

IV. Provider business mailing address

421 FARRELL ST
WEST PLAINS MO
65775-2905
US

V. Phone/Fax

Practice location:
  • Phone: 417-278-6868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026023646
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: