MEDICARE: MRS. SAMANTHA MORGAN REASON NCC, LPC

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	101YP2500X	Professional Counselor	12027	SC

General Provider Information

NPI Number	:	1518711522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAMANTHA MORGAN REASON NCC, LPC

Provider Business Mailing Address
First Line	:	112 DUNLEITH CT
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-6172
Country	:	US
Telephone Number	:	864-399-8217
Fax Number	:

Provider Business Practice Location Address
First Line	:	367 S PINE ST
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29302-2623
Country	:	US
Telephone Number	:	864-416-1707
Fax Number	:

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

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	06/02/2026

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