MEDICARE: ODUNAYO SAMO LMFT-A

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
1	106H00000X	Marriage & Family Therapist	206336	TX

General Provider Information

NPI Number	:	1316890791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ODUNAYO SAMO LMFT-A

Provider Business Mailing Address
First Line	:	2510 HERITAGE COLONY DR
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-3206
Country	:	US
Telephone Number	:	361-228-5072
Fax Number	:

Provider Business Practice Location Address
First Line	:	6220 WESTPARK DR STE 149
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7417
Country	:	US
Telephone Number	:	361-228-5072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ ODUNAYO SAMO LMFT-A” Practice Location

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