Mrs. Samantha J Santos, MA, LAC
Counselor, Mental Health in Bloomfield, New Jersey
1639691801- Practice location
- 650 Bloomfield Ave, Bloomfield, NJ 07003-2512
- Phone
- 201-981-2694
- Fax
- —
- Last updated
- July 10, 2017
Samantha Joanne Santos is a Counselor, Mental Health based in Bloomfield, NJ. Samantha Joanne Santos practices in Bloomfield, NJ and has the professional credentials of MA, LAC. The NPI Number for Samantha Joanne Santos is 1639691801 and holds a License No. 37AC00322900 (NJ). The current practice location address for Samantha Joanne Santos is 650 Bloomfield Ave, Bloomfield, NJ 07003-2512 and can be reached out via phone at 201-981-2694.
Provider Profile Details
- NPI Number
- 1639691801
- Provider Name
- Samantha Joanne Santos
- Credential
- MA, LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 650 Bloomfield Ave, Bloomfield, NJ 07003-2512
- Phone Number
- 201-981-2694
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Other Names
- -- Samantha Rebelo (Former Name)
- Provider Enumeration Date
- July 10, 2017
- Last Update Date
- July 10, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 650 Bloomfield Ave
Bloomfield, NJ 07003-2512 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-2512
- Phone Number
- 201-981-2694
Provider Business Mailing Address Details
- Address
- 12 N Woodside Ave
2ND Floor
Lodi, NJ 07644 - City
- Lodi
- State
- NJ
- Zip
- 07644
- Phone Number
- 201-981-2694
- Fax Number
- 201-981-2694
License Information
- License Number
- 37AC00322900
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Samantha J Santos, MA, LAC?
The NPI number of Mrs. Samantha J Santos, MA, LAC is 1639691801. It was assigned on July 10, 2017 and is currently active in the NPPES registry.
What is the specialty of Mrs. Samantha J Santos, MA, LAC?
Mrs. Samantha J Santos, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00322900.
Where does Mrs. Samantha J Santos, MA, LAC practice?
The practice location is 650 Bloomfield Ave, Bloomfield, NJ 07003-2512. The office can be reached at 201-981-2694 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639691801 directly on the NPPES registry website.