MEDICARE: MR. STEVEN MITCHELL SCOTT M.S.

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	APC001854	GA

General Provider Information

NPI Number	:	1831375690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN MITCHELL SCOTT M.S.

Provider Business Mailing Address
First Line	:	206 PLEASANT RIDGE CIR
Second Line	:
City	:	ROCK SPRING
State	:	GA
Zip	:	30739-5002
Country	:	US
Telephone Number	:	423-504-5875
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 PLEASANT RIDGE CIR
Second Line	:
City	:	ROCK SPRING
State	:	GA
Zip	:	30739-5002
Country	:	US
Telephone Number	:	423-504-5875
Fax Number	:

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

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	01/11/2008

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