Provider Demographics
NPI:1093485252
Name:STRINGER, SAMANTHA GIVENS (LMHC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:GIVENS
Last Name:STRINGER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 GREENBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:GATES
Mailing Address - State:NY
Mailing Address - Zip Code:14624-2860
Mailing Address - Country:US
Mailing Address - Phone:585-376-7551
Mailing Address - Fax:
Practice Address - Street 1:37 GREENBRIAR DR
Practice Address - Street 2:
Practice Address - City:GATES
Practice Address - State:NY
Practice Address - Zip Code:14624-2860
Practice Address - Country:US
Practice Address - Phone:585-376-7551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty