Gordon, Samantha
Gordon, Samantha is an individual health care provider with primary practice located at 2140 E Southlake Blvd Ste L-636 , Southlake TX 76092-6516. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gordon, Samantha can be contacted via phone (817) 303-9374.Contact Information
Primary practice address
2140 E Southlake Blvd Ste L-636
Southlake TX 76092-6516
Phone: (817) 303-9374
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 203759 | Texas |
Profile Details
| NPI number | 1659956480 |
|---|---|
| LBN Legal business name | Gordon, Samantha |
| Credentials | M.S., LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2021 |
| Last updated | Nov 2nd, 2022 - about 3 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.
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