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NPI Code Detail

MEDICARE: MOLLY SCANLON LMFT

MEDICARE:   MOLLY  SCANLON  LMFT
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
1106H00000XMarriage & Family TherapistLCM1175MD
2106H00000XMarriage & Family TherapistMT5215FL

General Provider Information

NPI Number : 1679452072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY SCANLON LMFT
Provider Business Mailing Address
First Line : 11155 ROSELAND RD APT 10
Second Line :
City : SEBASTIAN
State : FL
Zip : 32958-8153
Country : US
Telephone Number : 240-899-3111
Fax Number :
Provider Business Practice Location Address
First Line : 705 17TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6219
Country : US
Telephone Number : 240-899-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2025
Last Update Date : 05/04/2026

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Directions to “ MOLLY SCANLON LMFT” Practice Location

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