SCOTT THERAPEUTIC SERVICES PLLC NPI 1134915580

NPI Information

NPI: 1134915580
Provider Name: SCOTT THERAPEUTIC SERVICES PLLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 12840 S ADA ST
CALUMET PARK, IL
ZIP 60827
Phone: (773) 875-5027

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NPI Details

SCOTT THERAPEUTIC SERVICES PLLC is an adult mental health clinic center in Calumet Park, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SCOTT THERAPEUTIC SERVICES PLLC NPI is 1134915580. The provider is registered as an organization entity type.

The provider's business location address is:

12840 S ADA ST
CALUMET PARK, IL
ZIP 60827-410
Phone: (773) 875-5027
Fax: (773) 875-5027

The provider's authorized official is Leodis Scott .
The authorized official title is President and has the following contact phone number (773) 875-5027.

The enumeration date for this NPI number is 4/15/2025 and was last updated on 4/15/2025.

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
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

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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