Provider Demographics
NPI:1902377369
Name:ABELS, SAMANTHA ANN (LMSW, ACM-SW)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:ANN
Last Name:ABELS
Suffix:
Gender:F
Credentials:LMSW, ACM-SW
Other - Prefix:MRS
Other - First Name:SAMANTHA
Other - Middle Name:ANN
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, ACM-SW
Mailing Address - Street 1:3850C RIDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2728
Mailing Address - Country:US
Mailing Address - Phone:325-695-3252
Mailing Address - Fax:325-695-3414
Practice Address - Street 1:3850C RIDGEMONT DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-2728
Practice Address - Country:US
Practice Address - Phone:325-695-3252
Practice Address - Fax:325-695-3414
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54022104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker