Individual
DR. LEROY SCOTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
4030 CHOUTEAU AVE FL 4, SAINT LOUIS, MO 63110-1754
(314) 696-2090
Mailing address
3818 LARAMIE RD, ELLENWOOD, GA 30294-6651
(770) 468-0123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
08/14/2023
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