Provider Demographics
NPI:1548987639
Name:SCOTT, SEANITA N
Entity type:Individual
Prefix:
First Name:SEANITA
Middle Name:N
Last Name:SCOTT
Suffix:
Gender:F
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 SUMMER TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2663
Mailing Address - Country:US
Mailing Address - Phone:770-298-0332
Mailing Address - Fax:
Practice Address - Street 1:1447 PEACHTREE ST NE STE 560
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-0002
Practice Address - Country:US
Practice Address - Phone:404-469-8076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist