Jimenez, Samantha L.

Jimenez, Samantha L. is an sole proprietor health care provider with primary practice located at 932 W State Highway 152 , Mustang OK 73064-2301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Jimenez, Samantha L. can be contacted via phone (405) 551-1366.

Contact Information

Primary practice address
932 W State Highway 152 Mustang OK 73064-2301
Phone: (405) 551-1366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1578990024
LBN Legal business name Jimenez, Samantha L.
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2013
Last updated Jan 9th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578990024 NPPES
Oklahoma MEDICAID 200508550A

Popular Providers