Miemczewski, Samantha Anne

Miemczewski, Samantha Anne is an individual health care provider with primary practice located at 3805 E Main St Ste M , St Charles IL 60174-2487. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Miemczewski, Samantha Anne can be contacted via phone (630) 305-5118.

Contact Information

Primary practice address
3805 E Main St Ste M St Charles IL 60174-2487
Phone: (630) 305-5118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180012163 Illinois

Profile Details

NPI number 1033456348
LBN Legal business name Miemczewski, Samantha Anne
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2013
Last updated Feb 27th, 2024 - about 10 months 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.

Request for update

Popular Providers