MAUDESTA SCOTT CALEB LPC NPI 1518511740

NPI Information

  • NPI: 1518511740
  • Provider Name: MAUDESTA SCOTT CALEB, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4039 GATEWAY BLVD STE 201
    GROVETOWN, GA
    ZIP 30813
  • Phone: (706) 432-6866

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NPI Details

Maudesta Scott Caleb, LPC is a professional counselor in Grovetown, GA. Maudesta Scott Caleb, LPC NPI is 1518511740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4039 GATEWAY BLVD STE 201
GROVETOWN, GA
ZIP 30813-390
Phone: (706) 432-6866

The NPI 1518511740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/25/2019 and was last updated on 7/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC010166GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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