Provider Demographics
NPI:1255921888
Name:NUMIS, SAMANTHA (LPC)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:
Last Name:NUMIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-1551
Mailing Address - Country:US
Mailing Address - Phone:609-362-6468
Mailing Address - Fax:609-256-4050
Practice Address - Street 1:61 ROCKLAND RD
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-1551
Practice Address - Country:US
Practice Address - Phone:609-362-6468
Practice Address - Fax:609-256-4050
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00729100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional