SHANNON M SAMUELS LPC
NPI 1922604412
Counselor - Professional in West Pittston, PA
- Individual
- Female
- Counselor
- Professional
About SHANNON SAMUELS
This page provides the complete NPI Profile along with additional information for Shannon Samuels, a provider established in West Pittston, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1922604412 assigned on December 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 004249 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1922604412 Verify this NPI
- Provider Name
- SHANNON M SAMUELS LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5 LUZERNE AVE WEST PITTSTON, PA 18643
- Location Phone
- (570) 885-8407
- Mailing Address
- 554 GREEN ST DURYEA, PA 18642
- Mailing Phone
- (570) 885-8407
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-09-2020
- Last Update Date
- 12-09-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 004249
- License State
- PA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922604412, enumerated as an "individual" on December 09, 2020.
The provider is located at 5 LUZERNE AVE WEST PITTSTON, PA 18643 and the phone number is (570) 885-8407.
Counselor with taxonomy code 101YP2500X and a focus in Professional.