| Samantha Cole Lcsw | |
|
1004 State Highway 7 Bldg B Unadilla NY 13849-3137 | |
| (607) 354-4602 | |
| (607) 215-4201 |
| Full Name | Samantha Cole Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1004 State Highway 7 Bldg B, Unadilla, New York |
| Authorized Official Name and Position | Samantha Cole (DIRECTOR) |
| Authorized Official Contact | 6073544602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Cole Lcsw 1004 State Highway 7 Bldg B Unadilla NY 13849-3137 Ph: (607) 354-4602 | Samantha Cole Lcsw 1004 State Highway 7 Bldg B Unadilla NY 13849-3137 Ph: (607) 354-4602 |
| NPI Number | 1699188219 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 06/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699188219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 081663 (New York) | Primary |
Racioppi Mental Health Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1668 Vandervort Hill Rd, Unadilla, NY 13849 Phone: 607-369-9043 Fax: 607-369-9043 |