SAMANTHA FOWLKES LPC
NPI 1851059430
Counselor - Professional in Colwyn, PA
Active since December 01, 2021
About Samantha Fowlkes Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA FOWLKES LPC (NPI 1851059430) is an individual professional provider in Colwyn, Pennsylvania, licensed in Pennsylvania (PC013981) and active in the NPI registry since December 2021.
NPPES Registry Identity
NPI1851059430
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA FOWLKESCredential: LPC
Location Address110 SOUTH 2ND STColwyn, PA 19023
Mailing Address491 Baltimore Pike Ste 1249Springfield, PA 19064-3810 · (484) 836-9016
Phone(484) 836-9016
Sole ProprietorNo
Enumeration DateDecember 1, 2021
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1851059430 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC013981
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC013981 (PA)
110 SOUTH 2ND ST, Colwyn, PA 19023
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Counselor (Professional)
110 SOUTH 2ND ST
COLWYN, PA 19023
COLWYN, PA 19023
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851059430, enumerated as an "individual" on December 01, 2021.
The provider is located at 110 SOUTH 2ND ST COLWYN, PA 19023 and the phone number is (484) 836-9016.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
