Samantha Hayes, P-LCSW
Individual provider Active NPI Mental Health Counselor · King, NC
NPI 1629323720 · NPPES record last updated Jul 17, 2012
Key facts
- NPI
- 1629323720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P007510 (NC)
- Practice address
- 232 Newsome Rd
King, NC 27021-8507 - Phone
- (336) 983-0941
- NPI assigned
- Jul 16, 2012
- 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 |
|---|---|---|---|
| P007510 | NC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P007510 | NC | Yes |
Addresses
Primary practice location
232 Newsome Rd
King, NC 27021-8507
Mailing address
3210 Fairhill Dr
Raleigh, NC 27612-3215
Phone (919) 256-0824
Other providers in King, NC
- Amber Moser Hairford
- Meagan L Hankins
- Caroline Yates Harbour
- Jennifer Harper
- Laken Harris
- Austin Haymore
- Katherine Blackmon Haymore
- Katelyn Joyce Henderson
- Natasha Shurketra Hjorth
- Ashley Nicole Holder
All providers in King, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2012. 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.