Provider Demographics
NPI:1992425151
Name:SCOTT, JOSEPH LEE
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LEE
Last Name:SCOTT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 PARRAMATTA LN APT 3532
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-4010
Mailing Address - Country:US
Mailing Address - Phone:504-539-1299
Mailing Address - Fax:
Practice Address - Street 1:311 PARRAMATTA LN APT 3532
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-4010
Practice Address - Country:US
Practice Address - Phone:504-539-1299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX981101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral