Individual
LANTISHA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 INTERSTATE PKWY STE B, AUGUSTA, GA 30909-6481
(706) 204-1366
Mailing address
1265 INTERSTATE PKWY STE B, AUGUSTA, GA 30909-6481
(864) 992-8928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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