Provider Demographics
NPI:1255455788
Name:SCOTT, NAOMI (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:9500 RAY WHITE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6000
Mailing Address - Country:US
Mailing Address - Phone:817-745-4545
Mailing Address - Fax:817-841-1267
Practice Address - Street 1:9500 RAY WHITE RD
Practice Address - Street 2:STE 200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6000
Practice Address - Country:US
Practice Address - Phone:817-745-4545
Practice Address - Fax:817-841-1267
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73704101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional