Healthcare Provider Details

I. General information

NPI: 1992357230
Provider Name (Legal Business Name): SAMANTHA NICOLE NAPOLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 S MILITARY TRL STE 110
DELRAY BEACH FL
33484-6505
US

IV. Provider business mailing address

16244 S MILITARY TRL STE 110
DELRAY BEACH FL
33484-6505
US

V. Phone/Fax

Practice location:
  • Phone: 561-865-2550
  • Fax: 561-865-2558
Mailing address:
  • Phone: 561-865-2550
  • Fax: 561-865-2558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16780
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: