Provider Demographics
NPI:1043998180
Name:SAMARITAN COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:SAMARITAN COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AMIRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALDIVAR SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LCDC
Authorized Official - Phone:254-238-9057
Mailing Address - Street 1:202 E BEELINE LN
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1910
Mailing Address - Country:US
Mailing Address - Phone:254-279-4305
Mailing Address - Fax:254-218-5532
Practice Address - Street 1:202 E BEELINE LN
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1910
Practice Address - Country:US
Practice Address - Phone:254-279-4305
Practice Address - Fax:254-231-4944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAMARITAN COUNSELING CENTER, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-10
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty