Healthcare Provider Details

I. General information

NPI: 1023938578
Provider Name (Legal Business Name): SAMANTHA CIMO MS, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA SCHLOEGEL MS, LPC, NCC

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 W 21ST AVE 1/2
COVINGTON LA
70433-7443
US

IV. Provider business mailing address

1016 W 21ST AVE 1/2
COVINGTON LA
70433-7443
US

V. Phone/Fax

Practice location:
  • Phone: 504-884-2908
  • Fax:
Mailing address:
  • Phone: 504-884-2908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC9935
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: