Provider Demographics
NPI:1508138462
Name:HILL, SAMANTHA KATHLEEN (LMHC, LPCC)
Entity Type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:KATHLEEN
Last Name:HILL
Suffix:
Gender:F
Credentials:LMHC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27368 SERENE DR NE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98346-9504
Mailing Address - Country:US
Mailing Address - Phone:318-267-9753
Mailing Address - Fax:
Practice Address - Street 1:27368 SERENE DR NE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:WA
Practice Address - Zip Code:98346-9504
Practice Address - Country:US
Practice Address - Phone:318-267-9753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60593818101YM0800X
NM0176401101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health