MEDICARE: ABIGAIL SCOTT

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
1	101Y00000X	Counselor	91117	TX

General Provider Information

NPI Number	:	1053918078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL SCOTT

Provider Business Mailing Address
First Line	:	4324 MAPLESHADE LN STE 249
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-0050
Country	:	US
Telephone Number	:	469-431-3961
Fax Number	:

Provider Business Practice Location Address
First Line	:	4324 MAPLESHADE LN STE 249
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-0050
Country	:	US
Telephone Number	:	469-431-3961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	06/16/2025

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Directions to “ ABIGAIL SCOTT ” Practice Location

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