Black, Samantha
Black, Samantha is an sole proprietor health care provider with primary practice located at 112B Bypass 225 , Greenwood SC 29646-1154. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Black, Samantha can be contacted via phone (864) 936-6910.Contact Information
Primary practice address
112B Bypass 225
Greenwood SC 29646-1154
Phone: (864) 936-6910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6294 | South Carolina |
Profile Details
| NPI number | 1366851883 |
|---|---|
| LBN Legal business name | Black, Samantha |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2014 |
| Last updated | Jul 20th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366851883 | NPPES |
| South Carolina | Other | 6294 | LICENSED PROFESSIONAL COUNSELOR |
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