Provider Demographics
NPI:1740495985
Name:FREEMAN, SAMANTHA L (BHRS)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:L
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 NE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-6818
Mailing Address - Country:US
Mailing Address - Phone:405-427-7025
Mailing Address - Fax:405-427-7165
Practice Address - Street 1:3401 NE 16TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-6818
Practice Address - Country:US
Practice Address - Phone:405-427-7025
Practice Address - Fax:405-427-7165
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor