Provider Demographics
NPI:1477905396
Name:SAMS, ANASTACIA (MA, LPC, LMFT-C)
Entity type:Individual
Prefix:
First Name:ANASTACIA
Middle Name:
Last Name:SAMS
Suffix:
Gender:F
Credentials:MA, LPC, LMFT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5376 ALLISON ST APT 202
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3635
Mailing Address - Country:US
Mailing Address - Phone:443-624-8238
Mailing Address - Fax:
Practice Address - Street 1:720 S COLORADO BLVD STE 1353N
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1904
Practice Address - Country:US
Practice Address - Phone:720-370-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-02
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist