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SAMANTHA MARIE DOUGLAS
NPI 1144167677
Counselor - Mental Health in Port St Lucie, FL

Active since May 01, 2026
451 SW BETHANY DR STE 101, PORT ST LUCIE, FL 34986(772) 842-0017 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Marie Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MARIE DOUGLAS (NPI 1144167677) is an individual mental health provider in Port St Lucie, Florida and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1144167677
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA MARIE DOUGLAS
Location Address451 SW BETHANY DR STE 101Port St Lucie, FL 34986-1964
Mailing Address451 Sw Bethany Dr Ste 101Port St Lucie, FL 34986-1964
Phone(772) 842-0017
Sole ProprietorYes
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1144167677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
451 SW BETHANY DR STE 101, Port St Lucie, FL 34986
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYKES & TEENS, INC.
Case Manager/Care Coordinator
451 SW BETHANY DR STE 101
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 220-3439
TYKES & TEENS, INC
Community/Behavioral Health
451 SW BETHANY DR STE 101
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 220-3439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Douglas's NPI number?

The NPI number for Samantha Douglas is 1144167677. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Samantha Douglas located?

Samantha Douglas practices at 451 SW Bethany Dr Ste 101, Port St Lucie, FL 34986. The listed phone number is (772) 842-0017.

What is Samantha Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Douglas was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.