SAMANTHA CRUM
NPI 1801460365
Counselor - Mental Health in Maitland, FL
Active since May 18, 2021
About Samantha Crum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA CRUM (NPI 1801460365) is an individual mental health provider in Maitland, Florida, licensed in Florida (IMH23035) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1801460365
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA CRUM
Location Address2700 WESTHALL LN STE 118Maitland, FL 32751-7451
Mailing Address2700 Westhall Ln Ste 118Maitland, FL 32751-7451
Phone(407) 707-6441
Sole ProprietorYes
Enumeration DateMay 18, 2021
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1801460365 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH23035
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2700 WESTHALL LN STE 118, Maitland, FL 32751
Other Providers at the Same Location NPPES 8
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 1801460365, enumerated as an "individual" on May 18, 2021.
The provider is located at 2700 WESTHALL LN STE 118 MAITLAND, FL 32751 and the phone number is (407) 707-6441.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.