person
Samantha Black, LPC
Professional Counselor in Greenwood, South Carolina
NPI 1366851883

Samantha Black is a Professional Counselor based in Greenwood, SC and is specialized in Professional. Samantha Black practices in Greenwood, SC and has the professional credentials of LPC. The NPI Number for Samantha Black is 1366851883 and holds a License No. 6294 (South Carolina).

The current practice location address for Samantha Black is 112B Bypass 225, Greenwood, SC and can be reached out via phone at 864-936-6910.

Location: 112B Bypass 225, Greenwood, SC, 29646-1154
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Provider Profile Details
NPI Number
1366851883
Provider Name
Samantha Black
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
112B Bypass 225, Greenwood, SC, 29646-1154
Phone Number
864-936-6910
Fax Number
Provider Enumeration Date
08/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6294 01 SC LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
112B Bypass 225
City
State
Zip
29646-1154
Phone Number
864-936-6910
Fax Number
person
Provider Business Mailing Address Details
Address
112B Bypass 225
City
State
Zip
29646-1154
Phone Number
864-936-6910
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6294 (South Carolina)
Definition
Definition to come...
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