Provider Demographics
NPI:1457808289
Name:MCGIRT, SAMANTHA LASHAWN (MA, LPC, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:LASHAWN
Last Name:MCGIRT
Suffix:
Gender:F
Credentials:MA, LPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 AMBERLY CIR
Mailing Address - Street 2:
Mailing Address - City:PAGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29728-1203
Mailing Address - Country:US
Mailing Address - Phone:910-489-5111
Mailing Address - Fax:
Practice Address - Street 1:5407 JEFFERSON CIR S
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2660
Practice Address - Country:US
Practice Address - Phone:910-489-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
GALPC013918101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional