Provider Demographics
NPI:1841658614
Name:COY, SAMANTHA ELIZABETH (LPC-S)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:ELIZABETH
Last Name:COY
Suffix:
Gender:
Credentials:LPC-S
Other - Prefix:MRS
Other - First Name:SAMANTHA
Other - Middle Name:ELIZABETH
Other - Last Name:COYPHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-S
Mailing Address - Street 1:2116 THOMPSON RD STE 107
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5415
Mailing Address - Country:US
Mailing Address - Phone:281-810-8496
Mailing Address - Fax:
Practice Address - Street 1:2116 THOMPSON RD STE 107
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5415
Practice Address - Country:US
Practice Address - Phone:281-810-8496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-08
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71924101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional