Provider Demographics
NPI:1497189484
Name:SAMS, CASSANDRA DEANNA (LPC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:DEANNA
Last Name:SAMS
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:MISS
Other - First Name:CASSANDRA
Other - Middle Name:DEANNA
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMHC
Mailing Address - Street 1:2008 COURTYARD LOOP APT 204
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7444
Mailing Address - Country:US
Mailing Address - Phone:407-322-8064
Mailing Address - Fax:
Practice Address - Street 1:3599 W LAKE MARY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3417
Practice Address - Country:US
Practice Address - Phone:407-443-3371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8571101YM0800X
GALPC004158101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional