Provider Demographics
NPI:1467284059
Name:SAMANTHA WHITE LPC LLC
Entity type:Organization
Organization Name:SAMANTHA WHITE LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-251-7281
Mailing Address - Street 1:4727 N STATE HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-4466
Mailing Address - Country:US
Mailing Address - Phone:214-251-7281
Mailing Address - Fax:
Practice Address - Street 1:402 S WASHINGTON ST STE B
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-2476
Practice Address - Country:US
Practice Address - Phone:972-932-8898
Practice Address - Fax:072-932-8890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty