Healthcare Provider Details

I. General information

NPI: 1154256956
Provider Name (Legal Business Name): SEAN SCROGGINS LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 Q ST
BEDFORD IN
47421-4718
US

IV. Provider business mailing address

726 W COUNTY ROAD 600 N
ORLEANS IN
47452-9719
US

V. Phone/Fax

Practice location:
  • Phone: 812-279-4653
  • Fax:
Mailing address:
  • Phone: 812-653-6566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number39006079A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: