Samantha M Mezcua-Tettey, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT-2123 Issued in FL

Practice address

1061 Harmon Avenue
Winn Army Community Hospital
Fort Stewart, GA 31314-5611

Phone

(912) 435-6779

Fax

(912) 435-6863

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1740596675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6779",
            "fax_number": "912-435-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVENUE",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145611",
            "telephone_number": "912-435-6779",
            "fax_number": "912-435-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZCUA-TETTEY",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT-2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Vantassel Melei, MS, RD, LDN
• Jose Enrique Melendez, MD
• April Marie Melton, LCSW-C
• Jester Isaiah Cruz Mendoza, PA
• Dalia Rebecca Merced, MD
• Olivia Ngozi Mgbeokwere, MS, FNP-C
• Cynthia Michael
• Cristine Palacios Miclat, APRN, BC
• Brandy L Middleton, RN
• Charles Edward Middleton III, DDS

• Marriage & Family Therapist in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.