Scott, Jessie Ivelyn

Scott, Jessie Ivelyn is an sole proprietor health care provider with primary practice located at 165 Sabal Palm Dr Ste 151 , Longwood FL 32779-2593. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Scott, Jessie Ivelyn can be contacted via phone (407) 486-0239.

Contact Information

Primary practice address
165 Sabal Palm Dr Ste 151 Longwood FL 32779-2593
Phone: (407) 486-0239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH-15114
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH-15114 Florida

Profile Details

NPI number 1841599974
LBN Legal business name Scott, Jessie Ivelyn
Credentials M.A. LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2011
Last updated Mar 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841599974 NPPES
Florida MEDICAID 021815800

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