Samantha Graham, LMHC | |
180 10th St Se Ste 201, Le Mars, IA 51031-2557 | |
(712) 546-4624 | |
Not Available |
Full Name | Samantha Graham |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 180 10th St Se Ste 201, Le Mars, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073037420 | NPI | - | NPPES |
1184706566 | Medicaid | IA | |
1497930572 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 088121 (Iowa) | Primary |
Entity Name | Plains Area Mental Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801867734 PECOS PAC ID: 5395649743 Enrollment ID: O20031126000289 |
Mailing Address | Practice Location Address |
---|---|
Samantha Graham, LMHC Po Box 70, Le Mars, IA 51031-0070 Ph: (712) 546-4624 | Samantha Graham, LMHC 180 10th St Se Ste 201, Le Mars, IA 51031-2557 Ph: (712) 546-4624 |
Dr. Jacob Jerry Jackson, PHD, LMHC, CADC Counselor Medicare: Medicare Enrolled Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 | |
Tracy May Delao, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 | |
Ms. Kelley Dickey Cuddy, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 | |
Adrienne Towne, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 1st St Nw, Le Mars, IA 51031 Phone: 712-222-1459 Fax: 712-222-1460 | |
Joshua Van Zweden, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Lincoln St Se, Le Mars, IA 51031 Phone: 712-546-7868 Fax: 712-546-7869 | |
Leslie Ann Mohr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 10th St Se, Suite 201, Le Mars, IA 51031 Phone: 712-546-4624 |