Provider Demographics
NPI:1689548448
Name:SCOTT, JEFFREY AARON II
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:AARON
Last Name:SCOTT
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 EATON ST # 308
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4079
Mailing Address - Country:US
Mailing Address - Phone:757-630-1786
Mailing Address - Fax:
Practice Address - Street 1:101 EATON ST # 308
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4079
Practice Address - Country:US
Practice Address - Phone:757-630-1786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty