Healthcare Provider Details

I. General information

NPI: 1407786460
Provider Name (Legal Business Name): SCALES COUNSELING AND CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 MADISON ST STE 102
MADISON TN
37115-3660
US

IV. Provider business mailing address

4546 ARTELIA DR
ANTIOCH TN
37013-2721
US

V. Phone/Fax

Practice location:
  • Phone: 615-915-4091
  • Fax: 615-208-9771
Mailing address:
  • Phone: 615-915-4091
  • Fax: 615-208-9771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL R. SCALES
Title or Position: OWNER/SERVICE PROVIDER
Credential: LPC-MHSP
Phone: 615-915-4091