Samoine Carter, C.T.

Individual provider Active NPI Mental Health Counselor · Shaker HTS, OH

NPI 1912288754 · NPPES record last updated Sep 7, 2011

Key facts

NPI
1912288754
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
C.1100096-TRNE (OH)
Practice address
22001 Fairmount Blvd
Shaker HTS, OH 44118-4819
Phone
(216) 932-2800
NPI assigned
Sep 7, 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

LicenseStateTypeSpecialty
C.1100096-TRNEOHMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1100096-TRNE OH Yes

Addresses

Primary practice location

22001 Fairmount Blvd
Shaker HTS, OH 44118-4819

Mailing address

22001 Fairmount Blvd
Shaker HTS, OH 44118-4819

Other providers in Shaker HTS, OH

All providers in Shaker HTS, OH · Mental Health Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.