Healthcare Provider Details

I. General information

NPI: 1588968457
Provider Name (Legal Business Name): STEPHANIE R SCOTT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2011
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 W SPRING CREEK PKWY STE 116
PLANO TX
75023-4508
US

IV. Provider business mailing address

PO BOX 174245
ARLINGTON TX
76003-4245
US

V. Phone/Fax

Practice location:
  • Phone: 844-824-8775
  • Fax:
Mailing address:
  • Phone: 214-649-2794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number66767
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: