Provider Demographics
NPI:1477011880
Name:SCROGGS, LAUREN BETHUNE (PHD,LCMHC, NCC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:BETHUNE
Last Name:SCROGGS
Suffix:
Gender:F
Credentials:PHD,LCMHC, NCC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8700
Mailing Address - Country:US
Mailing Address - Phone:252-495-8520
Mailing Address - Fax:
Practice Address - Street 1:2150 WEST 5TH STREET
Practice Address - Street 2:HEALTH SCIENCES BUILDING MAILSTOP 688
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-744-0328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-23525101YA0400X
NCA13561101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)