Healthcare Provider Details

I. General information

NPI: 1780118653
Provider Name (Legal Business Name): MARJORIE ELIZABETH SCAFFA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N MCKENZIE ST STE 200
FOLEY AL
36535-4700
US

IV. Provider business mailing address

1851 N MCKENZIE ST STE 200
FOLEY AL
36535-4700
US

V. Phone/Fax

Practice location:
  • Phone: 251-424-1232
  • Fax: 251-424-1954
Mailing address:
  • Phone: 251-434-1232
  • Fax: 251-424-1954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC2696A
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC04484
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number1284
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: