SAMANTHA MOGABGAB
NPI 1528638269
Counselor - Mental Health in Columbia, SC
Active since June 25, 2021
About Samantha Mogabgab NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MOGABGAB (NPI 1528638269) is an individual mental health provider in Columbia, South Carolina, licensed in South Carolina (7705) and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1528638269
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA MOGABGAB
Location Address2309 DEVINE STColumbia, SC 29205-2422
Mailing Address2309 Devine StColumbia, SC 29205-2422
Phone(980) 621-4523
Sole ProprietorYes
Enumeration DateJune 25, 2021
Last NPPES UpdateJuly 5, 20212 updates tracked since enumeration
NPPES CertifiedJuly 5, 2021
✔ NPI 1528638269 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 7705
2309 DEVINE ST, Columbia, SC 29205
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528638269, enumerated as an "individual" on June 25, 2021.
The provider is located at 2309 DEVINE ST COLUMBIA, SC 29205 and the phone number is (980) 621-4523.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
