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NPI Code Detail

MEDICARE: SAMANTHA KATE NORELLI LMHC

MEDICARE: SAMANTHA KATE NORELLI LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor005766NY
2101YM0800XMental Health Counselor11615NC

General Provider Information

NPI Number : 1992181804
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA KATE NORELLI LMHC
Provider Business Mailing Address
First Line : 339 BROADWAY
Second Line :
City : MENANDS
State : NY
Zip : 12204-2708
Country : US
Telephone Number : 518-465-5204
Fax Number :
Provider Business Practice Location Address
First Line : 339 BROADWAY
Second Line :
City : MENANDS
State : NY
Zip : 12204-2708
Country : US
Telephone Number : 518-465-5204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 08/03/2015

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