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NPI Code Detail

MEDICARE: SAMANTHA BROWN M.A., LCMHC, NCC

MEDICARE: SAMANTHA BROWN M.A., LCMHC, NCC
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
1101YM0800XMental Health Counselor16876NC

General Provider Information

NPI Number : 1538738844
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BROWN M.A., LCMHC, NCC
Provider Business Mailing Address
First Line : 895 STATE FARM RD STE 507-7
Second Line :
City : BOONE
State : NC
Zip : 28607-4917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 895 STATE FARM RD STE 507-7
Second Line :
City : BOONE
State : NC
Zip : 28607-4917
Country : US
Telephone Number : 828-660-0405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2021
Last Update Date : 05/18/2026

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