Samantha Favara, LMHC
Individual provider Active NPI Mental Health Counselor · Middletown, NY
NPI 1053867937 · NPPES record last updated Aug 30, 2016
Key facts
- NPI
- 1053867937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 007423 (NY)
- Practice address
- 41 Dolson Ave
Middletown, NY 10940-6489 - Phone
- (845) 342-5789
- Fax
- (845) 344-0510
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007423 | NY | Yes |
Addresses
Primary practice location
41 Dolson Ave
Middletown, NY 10940-6489
Mailing address
41 Dolson Ave
Middletown, NY 10940-6489
Phone (845) 342-5789
Other providers in Middletown, NY
- Charles Timothy Fasanya
- Andrew Jay Faskowitz
- Naila Fatima
- Ernst Fattakhov
- Colleen Faust
- Kristen Alison Fazio
- Doron Feder
- Tara Sue Federman
- Federoptics Corp
- Bailey Fedun
All providers in Middletown, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.