Provider Demographics
NPI:1558077099
Name:RIGHTER, SAMANTHA (PEER SUPPORT)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:RIGHTER
Suffix:
Gender:F
Credentials:PEER SUPPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 SULLIVANT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-1350
Mailing Address - Country:US
Mailing Address - Phone:614-349-1154
Mailing Address - Fax:
Practice Address - Street 1:1195 SULLIVANT AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-1350
Practice Address - Country:US
Practice Address - Phone:614-349-1154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist