Individual
MR. ROBERT L SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5600 GOODMAN ROAD, SUITE B, OLIVE BRANCH, MS 38654
(662) 893-6556
(662) 893-1102
Mailing address
5600 GOODMAN RD, SUITE B, OLIVE BRANCH, MS 38654-7002
(662) 893-6556
(662) 893-1102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AD04-038S
MS
106H00000X
Marriage & Family Therapist
TO158
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007541221
AETNA
—
01
—
215522
COMPSYCHE
—
01
—
4060799
BLUE CROSS BLUE SHIELD TN
—
01
—
497541
AETNA
—
Enumeration date
02/16/2007
Last updated
09/11/2025
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