Provider Demographics
NPI:1760044432
Name:ADAMS, SAMANTHA M (LPC, LBS, NCC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LPC, LBS, NCC
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:M
Other - Last Name:STITZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBS
Mailing Address - Street 1:153 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-1150
Mailing Address - Country:US
Mailing Address - Phone:610-413-4987
Mailing Address - Fax:
Practice Address - Street 1:3402 WASHINGTON RD STE 304
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2964
Practice Address - Country:US
Practice Address - Phone:724-941-5365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011215101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional