Individual provider · Type 1 NPI
Tyisha Salter Scott, M.ED
Professional Counselor · Fayetteville, GA
NPI number
1073139317
Active
Practice location
110 Habersham Drive, Suite 142
Fayetteville, GA 30214
Fax (404) 537-1045
Mailing address
8078 Sunburst Ln
Riverdale, GA 30296-3439
Other practice locations
- 8078 Sunburst Ln, Riverdale, GA 30296-3439 · (404) 379-9846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC014397 (GA) |
Professional Counselor: Definition to come...
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About NPI 1073139317
Tyisha Salter Scott, M.ED's National Provider Identifier is 1073139317, issued on Jun 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 31, 2024.