MEDICARE: SAMANTHA LEIGH LAPLANTE 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	101YM0800X	Mental Health Counselor	0701008914	VA

General Provider Information

NPI Number	:	1598392235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA LEIGH LAPLANTE LPC

Provider Business Mailing Address
First Line	:	8302 WILKES RIDGE PL
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-7382
Country	:	US
Telephone Number	:	757-509-1171
Fax Number	:

Provider Business Practice Location Address
First Line	:	15000 CAPITAL ONE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-1119
Country	:	US
Telephone Number	:	804-855-6000
Fax Number	:	804-855-6212

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

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	03/24/2020

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