MEDICARE: SCALES COUNSELING AND CONSULTATION

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1407786460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCALES COUNSELING AND CONSULTATION

Provider Business Mailing Address
First Line	:	4546 ARTELIA DR
Second Line	:
City	:	ANTIOCH
State	:	TN
Zip	:	37013-2721
Country	:	US
Telephone Number	:	615-915-4091
Fax Number	:	615-208-9771

Provider Business Practice Location Address
First Line	:	223 MADISON ST STE 102
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-3660
Country	:	US
Telephone Number	:	615-915-4091
Fax Number	:	615-208-9771

Authorized Official
Title or Position	:	OWNER/SERVICE PROVIDER
Name	:	SAMUEL R. SCALES
Credential	:	LPC-MHSP
Telephone Number	:	615-915-4091

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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