| Samantha White Lpc Llc | |
|
402 S Washington St Ste B Kaufman TX 75142-2476 | |
| (972) 932-8898 | |
| (072) 932-8890 |
| Full Name | Samantha White Lpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 402 S Washington St Ste B, Kaufman, Texas |
| Authorized Official Name and Position | Samantha E White (OWNER, PROVIDER) |
| Authorized Official Contact | 2142517281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha White Lpc Llc 4727 N State Highway 34 Kaufman TX 75142-4466 Ph: (214) 251-7281 | Samantha White Lpc Llc 402 S Washington St Ste B Kaufman TX 75142-2476 Ph: (972) 932-8898 |
| NPI Number | 1467284059 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 8123569217 |
|---|---|
| Medicare Enrollment ID | O20240917000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467284059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Samantha Elizabeth White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841038098 PECOS PAC ID: 9032650122 Enrollment ID: I20240917000681 |
Ashley Willson, Lpc Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 506 S Washington St, Kaufman, TX 75142 Phone: 972-932-8898 Fax: 972-932-8890 | |
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