Wingo, Samantha

Wingo, Samantha is an individual health care provider with primary practice located at 3086 State Route 160 , Gallipolis OH 45631-8409. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wingo, Samantha can be contacted via phone (740) 446-5500.

Contact Information

Primary practice address
3086 State Route 160 Gallipolis OH 45631-8409
Phone: (740) 446-5500
Fax: (740) 446-2159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.163715 Ohio
Behavioral Health & Social Service Providers / School 1041S0200X S2106110 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.162216 Ohio

Profile Details

NPI number 1558887828
LBN Legal business name Wingo, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2017
Last updated Jul 21st, 2022 - about 2 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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