Healthcare Provider Details

I. General information

NPI: 1013058205
Provider Name (Legal Business Name): ARZELL LAVEE SCOGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3875 S WESTERN AVE
LOS ANGELES CA
90062-1105
US

IV. Provider business mailing address

17517 MERIMAC CT
CARSON CA
90746-1635
US

V. Phone/Fax

Practice location:
  • Phone: 323-290-4377
  • Fax: 323-293-3327
Mailing address:
  • Phone: 310-220-5483
  • Fax: 323-293-3327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT148481
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: