Provider Demographics
NPI:1356693782
Name:FARMER, SAMANTHA RENEE (LMHC, LMFT)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:RENEE
Last Name:FARMER
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:MRS
Other - First Name:SAMANTHA
Other - Middle Name:RENEE
Other - Last Name:NICHOLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC, LMHCA LMFTA
Mailing Address - Street 1:7507 NE 51ST ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6007
Mailing Address - Country:US
Mailing Address - Phone:360-803-8272
Mailing Address - Fax:360-906-1193
Practice Address - Street 1:7507 NE 51ST ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6007
Practice Address - Country:US
Practice Address - Phone:360-803-8272
Practice Address - Fax:360-906-1193
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61543641106H00000X
WALH61398879101YM0800X
WACG61135811101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor