Individual
TIMOTHY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1936 WILDLIFE RD, CHARLOTTE, NC 28214-8457
(980) 766-0233
Mailing address
13000 S TRYON ST # F-279, CHARLOTTE, NC 28278-7652
(980) 766-0233
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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