Samantha K Andrews, LMHC
Individual provider Active NPI Mental Health Counselor · Perry, FL
NPI 1639776594 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1639776594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH24475 (FL)
- Practice address
- 1706 S Jefferson St
Perry, FL 32348-5611 - Phone
- (850) 270-2360
- NPI assigned
- Oct 5, 2020
- 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 |
|---|---|---|---|
| MH24475 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | ||
| Mental Health Counselor | 101YM0800X | MH24475 | FL | Yes |
Addresses
Primary practice location
1706 S Jefferson St
Perry, FL 32348-5611
Mailing address
1706 S Jefferson St
Perry, FL 32348-5611
Phone (850) 270-2360
Other names
- Samantha Pochowski
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All providers in Perry, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 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.