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Tyisha Salter Scott, MED
Professional Counselor in Fayetteville, Georgia
NPI 1073139317

Tyisha Salter Scott is a Professional Counselor based in Riverdale, GA and is specialized in Professional. Tyisha Salter Scott practices in Fayetteville, GA and has the professional credentials of MED. The NPI Number for Tyisha Salter Scott is 1073139317 and holds a License No. (Georgia).

The current practice location address for Tyisha Salter Scott is 110 Habersham Drive, Fayetteville, GA and can be reached out via phone at 770-371-5057 and via fax at 404-537-1045. You can also correspond with Tyisha Salter Scott through the mailing address at 8078 SUNBURST LN, RIVERDALE, GA - 30296-3439 (mailing address contact number: 404-379-9846).

Location: 110 Habersham Drive, Fayetteville, GA, 30296-3439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073139317
Provider Name
Tyisha Salter Scott
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
110 Habersham Drive, Fayetteville, GA, 30296-3439
Phone Number
770-371-5057
Fax Number
404-537-1045
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Habersham Drive
City
Fayetteville
State
Georgia
Zip
30214
Phone Number
770-371-5057
Fax Number
404-537-1045
person
Provider Business Mailing Address Details
Address
8078 Sunburst Ln
City
Riverdale
State
Georgia
Zip
30296-3439
Phone Number
404-379-9846
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC014397 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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