Provider Demographics
NPI:1144862632
Name:SCOGGINS, CHASITY (MA)
Entity type:Individual
Prefix:
First Name:CHASITY
Middle Name:
Last Name:SCOGGINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHASITY
Other - Middle Name:
Other - Last Name:WESTERHAUSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16800 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-7314
Mailing Address - Country:US
Mailing Address - Phone:757-754-0667
Mailing Address - Fax:
Practice Address - Street 1:1804 MARTIN LUTHER KING PKWY STE 112
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3587
Practice Address - Country:US
Practice Address - Phone:919-246-5664
Practice Address - Fax:919-321-0351
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor