Provider Demographics
NPI:1275877367
Name:SAMS, ANDREA (M ED, LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:SAMS
Suffix:
Gender:F
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17424 JACKSON PINES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2066
Mailing Address - Country:US
Mailing Address - Phone:281-900-7141
Mailing Address - Fax:
Practice Address - Street 1:17424 JACKSON PINES DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2066
Practice Address - Country:US
Practice Address - Phone:281-900-7141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional