Provider Demographics
NPI:1154709020
Name:SCROGGINS, ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SCROGGINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:SCROGGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:345 MONMOUTH AVE N
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-1329
Mailing Address - Country:US
Mailing Address - Phone:503-838-8313
Mailing Address - Fax:503-838-8801
Practice Address - Street 1:345 MONMOUTH AVE N
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-1329
Practice Address - Country:US
Practice Address - Phone:503-838-8313
Practice Address - Fax:503-838-8801
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3788101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health