Rousey, Samantha Nicole

Rousey, Samantha Nicole is an sole proprietor health care provider with primary practice located at 405 Pettigru St , Greenville SC 29601-3114. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Rousey, Samantha Nicole can be contacted via phone (864) 271-3549.

Contact Information

Primary practice address
405 Pettigru St Greenville SC 29601-3114
Phone: (864) 271-3549
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1033372651
LBN Legal business name Rousey, Samantha Nicole
Credentials CAC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2008
Last updated Oct 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033372651 NPPES
South Carolina MEDICAID 301100

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