Provider Demographics
NPI:1538431119
Name:SCOTT, SAUNDRA SYPHRETT (LMHC)
Entity type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:SYPHRETT
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SAUNDRA
Other - Middle Name:S
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:2700 WESTHALL LN STE 118
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7451
Mailing Address - Country:US
Mailing Address - Phone:407-979-4651
Mailing Address - Fax:
Practice Address - Street 1:2700 WESTHALL LN STE 118
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7451
Practice Address - Country:US
Practice Address - Phone:407-979-4651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5676101Y00000X
101YM0800X
FLMH5676101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health