Provider Demographics
NPI:1194732420
Name:PRESCOTT, JAMES LARRY (MS,CAP,LMHC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LARRY
Last Name:PRESCOTT
Suffix:
Gender:M
Credentials:MS,CAP,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 OLIVIA ST
Mailing Address - Street 2:#5
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3340
Mailing Address - Country:US
Mailing Address - Phone:305-292-6843
Mailing Address - Fax:305-292-6723
Practice Address - Street 1:1205 4TH ST
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3707
Practice Address - Country:US
Practice Address - Phone:305-292-6843
Practice Address - Fax:305-292-6723
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1379 CAP101YA0400X
FLMH6149101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health