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General NPI Number Information
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NPI Number | 1114119211
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Entity Type | Individual
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Provider Name | TERRENCE D SCOTT MA, LPC, LCDC, LBSW
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Gender | Male
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 525 N SAM HOUSTON PKWY E 597
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City | HOUSTON
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State | TX
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Zip | 77060-4037
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Country | US
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Telephone | 832-528-1999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 690922
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City | HOUSTON
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State | TX
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Zip | 77269-0922
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Country | US
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Telephone | 832-528-1999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 67001
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10252
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 36555
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 67001
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License Number State | TX
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