SAMANTHA L CHARBONNEAU PA - NPI 1356878128 - Marriage & Family Therapist in Lake Mary, FL

Q: What is Samantha L Charbonneau PA's NPI number?

The NPI number for Samantha L Charbonneau PA is 1356878128. It was assigned to this organization in the NPPES registry on May 11, 2017.

Q: What is Samantha L Charbonneau PA's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Samantha L Charbonneau Pa NPPES

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

SAMANTHA L CHARBONNEAU PA (NPI 1356878128) is a healthcare organization registered as a marriage & family therapist in Lake Mary, Florida and active in the NPI registry since May 2017. The organization lists Samantha Lynn Charbonneau, Marriage And Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1356878128

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameSAMANTHA L CHARBONNEAU PA

Location Address101 TIMBERLACHEN CIR STE 201Lake Mary, FL 32746-6124

Mailing Address101 Timberlachen Cir Ste 201Lake Mary, FL 32746-6124 · (407) 466-3467 · Fax (407) 549-5987

Phone(407) 466-3467

Fax(407) 549-5987

Organization SubpartNo

Authorized OfficialSamantha Lynn CharbonneauMarriage And Family Therapist · (407) 466-3467

Enumeration DateMay 11, 2017

✔ NPI 1356878128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in FL · MT2058

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

101 TIMBERLACHEN CIR STE 201, Lake Mary, FL 32746

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Other Identifiers 1

Other1982634275FL · Npi Type 1

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 7

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

TIMOTHY LE MD PLLC

Psychiatry & Neurology (Psychiatry)