Samantha Coots
Individual provider Active NPI Professional Counselor · Hyden, KY
NPI 1497040463 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1497040463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 267114 (KY)
- Practice address
- 2355 Hwy 80
Hyden, KY 41749 - Phone
- (606) 216-3366
- NPI assigned
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267114 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 267114 | KY | Yes |
Addresses
Primary practice location
2355 Hwy 80
Hyden, KY 41749
Mailing address
2355 Hwy 80
Hyde, KY 41749
Phone (606) 216-3366
Other providers in Hyden, KY
- Rebecca Ann Burkhardt
- Melissa Callahan
- Lenora Kay Campbell
- Jacksis Cassagnol
- James D Chaney
- Julie Lyn Daniels
- Teresia Davidson-Griffith
- Courtney Day
- Nicole K Demetriou
- TM Lukas Desaint-Clair
All providers in Hyden, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. 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.