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NPI Code Detail

MEDICARE: MS. MASHAWN SCOTT-CARR ED.D., LPC, CSAC

MEDICARE:  MS. MASHAWN  SCOTT-CARR  ED.D., LPC, CSAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0701007386VA
2101YP2500XProfessional Counselor0701007386VA

General Provider Information

NPI Number : 1043726045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MASHAWN SCOTT-CARR ED.D., LPC, CSAC
Provider Business Mailing Address
First Line : 3732 WOODMERE DR
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23703-2775
Country : US
Telephone Number : 757-332-4353
Fax Number :
Provider Business Practice Location Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2867
Country : US
Telephone Number : 757-756-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 12/13/2023

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Directions to “ MS. MASHAWN SCOTT-CARR ED.D., LPC, CSAC” Practice Location

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