Samons, Sandra Lea
Samons, Sandra Lea is an sole proprietor health care provider with primary practice located at 1480 Shevchenko Dr , Ann Arbor MI 48103-9001. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Samons, Sandra Lea can be contacted via phone (734) 663-7871.Contact Information
Primary practice address
1480 Shevchenko Dr
Ann Arbor MI 48103-9001
Phone: (734) 663-7871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2-00035 | Michigan |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | GENDER IDENTITY SPEC | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6810103579 | Michigan |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 4101005512 | Michigan |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801013579 | Michigan |
Profile Details
| NPI number | 1376536367 |
|---|---|
| LBN Legal business name | Samons, Sandra Lea |
| Credentials | PH.D., M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | May 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376536367 | NPPES |
| Michigan | Other | 8499 | MI ASSC OF A/DA COUNSELOR |
| Michigan | Other | 4101005512 | MI ASSC OF A/DA COUNSELOR |
| Michigan | Other | 2-00035 | MI ASSC OF A/DA COUNSELOR |
| Michigan | Other | 6801013579 | MI ASSC OF A/DA COUNSELOR |
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