Wilson, Samantha L

Wilson, Samantha L is an individual health care provider with primary practice located at 113 Hardin Ln , Somerset KY 42503-3814. 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. Wilson, Samantha L can be contacted via phone (606) 679-4782.

Contact Information

Primary practice address
113 Hardin Ln Somerset KY 42503-3814
Phone: (606) 679-4782
Fax: (606) 678-5296
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1588986178
LBN Legal business name Wilson, Samantha L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2010
Last updated Aug 13th, 2021 - 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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