| Samantha Lin Lewis, Licensed Professional Clinical Counselor, Inc | |
|
11949 Jefferson Blvd Ste 102 Culver City CA 90230-6336 | |
| (714) 510-2705 | |
| Not Available |
| Full Name | Samantha Lin Lewis, Licensed Professional Clinical Counselor, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11949 Jefferson Blvd Ste 102, Culver City, California |
| Authorized Official Name and Position | Samantha Lin Lewis (PRESIDENT) |
| Authorized Official Contact | 7145102705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lin Lewis, Licensed Professional Clinical Counselor, Inc Po Box 10162 Torrance CA 90505-0962 Ph: (714) 510-2705 | Samantha Lin Lewis, Licensed Professional Clinical Counselor, Inc 11949 Jefferson Blvd Ste 102 Culver City CA 90230-6336 Ph: (714) 510-2705 |
| NPI Number | 1194535559 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194535559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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