Provider Demographics
NPI:1740938091
Name:SAMPSON, MIRI RHIANNON (LMFTA)
Entity type:Individual
Prefix:MRS
First Name:MIRI
Middle Name:RHIANNON
Last Name:SAMPSON
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 PIONEER WAY STE 200B
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1161
Mailing Address - Country:US
Mailing Address - Phone:253-414-9048
Mailing Address - Fax:
Practice Address - Street 1:7201 PIONEER WAY STE 200B
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1161
Practice Address - Country:US
Practice Address - Phone:253-414-9048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty