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SAMANTHA WALLER CDCA
NPI 1750084786
Counselor - Addiction (Substance Use Disorder) in Holland, OH

Active since March 27, 2023
6202 TRUST DR, HOLLAND, OH 43528(419) 824-8462 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Waller Cdca NPPES

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

SAMANTHA WALLER CDCA (NPI 1750084786) is an individual addiction (substance use disorder) provider in Holland, Ohio, licensed in Ohio (183892) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1750084786
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAMANTHA WALLERCredential: CDCA
Location Address6202 TRUST DRHolland, OH 43528-8425
Mailing Address6202 Trust DrHolland, OH 43528-8425 · (419) 824-8462
Phone(419) 824-8462
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1750084786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 183892
6202 TRUST DR, Holland, OH 43528
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Other Providers at the Same Location NPPES 20

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

MOLLI MARTIN
Counselor (Addiction (Substance Use Disorder))
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 824-8462
TIMOTHY CHAPMAN CDCA
Counselor (Addiction (Substance Use Disorder))
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 824-8462
MICHAEL CUSTER
Case Manager/Care Coordinator
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 842-8462
DANIEL SCOTT LAWRENCE
Counselor (Addiction (Substance Use Disorder))
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 491-7300
JEFFREY SMITH
Counselor (Addiction (Substance Use Disorder))
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 824-8462
MRS. HELENE SOLOMON DAUM
Counselor (Addiction (Substance Use Disorder))
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 824-8462
SARAH ELIZABETH LYCZKOWSKI CDCA
Counselor (Addiction (Substance Use Disorder))
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 824-8462
JOSEPH DAVID ROBERTS CDCA
Case Manager/Care Coordinator
6202 TRUST DR
HOLLAND, OH 43528
Lucas County (419) 824-8462

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 Waller's NPI number?

The NPI number for Samantha Waller is 1750084786. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Samantha Waller located?

Samantha Waller practices at 6202 Trust Dr, Holland, OH 43528. The listed phone number is (419) 824-8462.

What is Samantha Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samantha Waller was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.