Provider Demographics
NPI:1306225172
Name:BECNEL, SAMANTHA (COUNSELOR)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:BECNEL
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8326 MAIN ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363-4871
Mailing Address - Country:US
Mailing Address - Phone:985-868-2620
Mailing Address - Fax:985-868-8547
Practice Address - Street 1:8326 MAIN ST UNIT 3
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-4871
Practice Address - Country:US
Practice Address - Phone:985-868-2620
Practice Address - Fax:985-868-8547
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor