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SAMANTHA MANGRUM
NPI 1275052003
Counselor - Professional in Union, MO

Active since September 13, 2017
411 E LOCUST ST, UNION, MO 63084(636) 584-8724 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Mangrum NPPES

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

SAMANTHA MANGRUM (NPI 1275052003) is an individual professional provider in Union, Missouri, licensed in Missouri (2017009255) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1275052003
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA MANGRUM
Location Address411 E LOCUST STUnion, MO 63084-1865
Mailing Address411 E Locust StUnion, MO 63084-1865
Phone(636) 584-8724
Sole ProprietorNo
Enumeration DateSeptember 13, 2017
✔ NPI 1275052003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2017009255
411 E LOCUST ST, Union, MO 63084
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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 Mangrum's NPI number?

The NPI number for Samantha Mangrum is 1275052003. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Samantha Mangrum located?

Samantha Mangrum practices at 411 E Locust St, Union, MO 63084. The listed phone number is (636) 584-8724.

What is Samantha Mangrum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Samantha Mangrum was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.