Healthcare Provider Details

I. General information

NPI: 1619757176
Provider Name (Legal Business Name): SAMANTHA ELIZABETH CURRAN LMHC, CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 NEW YORK AVE
HUNTINGTON STATION NY
11746-3238
US

IV. Provider business mailing address

2075 NEW YORK AVE
HUNTINGTON STATION NY
11746-3238
US

V. Phone/Fax

Practice location:
  • Phone: 631-920-8351
  • Fax: 631-351-0862
Mailing address:
  • Phone: 631-351-7112
  • Fax: 631-351-0861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number006580
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: