MEDICARE: TAMEKA MICHELLE 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	101YP2500X	Professional Counselor	LPC016858	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	059616648	OTHER	GA	GEORGI DL

General Provider Information

NPI Number	:	1447779095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMEKA MICHELLE SCOTT

Provider Business Mailing Address
First Line	:	426 DEERFIELD PT
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-8933
Country	:	US
Telephone Number	:	770-309-9246
Fax Number	:

Provider Business Practice Location Address
First Line	:	426 DEERFIELD PT
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-8933
Country	:	US
Telephone Number	:	770-309-9246
Fax Number	:

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

Provider Enumeration Date	:	09/14/2017
Last Update Date	:	06/04/2026

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Directions to “ TAMEKA MICHELLE SCOTT ” Practice Location

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