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NPI Code Detail

MEDICARE: MR. TERRENCE D SCOTT MA, LPC, LCDC, LBSW

MEDICARE:  MR. TERRENCE D SCOTT  MA, LPC, LCDC, LBSW
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
1101YP2500XProfessional Counselor67001TX
2101YA0400XAddiction (Substance Use Disorder) Counselor10252TX
3104100000XSocial Worker36555TX
4102L00000XPsychoanalyst67001TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114119211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRENCE D SCOTT MA, LPC, LCDC, LBSW
Provider Business Mailing Address
First Line : PO BOX 690922
Second Line :
City : HOUSTON
State : TX
Zip : 77269-0922
Country : US
Telephone Number : 832-528-1999
Fax Number :
Provider Business Practice Location Address
First Line : 525 N SAM HOUSTON PKWY E
Second Line : 597
City : HOUSTON
State : TX
Zip : 77060-4037
Country : US
Telephone Number : 832-528-1999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 07/08/2025

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Directions to “ MR. TERRENCE D SCOTT MA, LPC, LCDC, LBSW” Practice Location

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