MEDICARE: MS. SAMANTHA VALDEZ 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	94759	TX

General Provider Information

NPI Number	:	1841182888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAMANTHA VALDEZ LPC

Provider Business Mailing Address
First Line	:	1202 N MILE 1 E UNIT 116
Second Line	:
City	:	MERCEDES
State	:	TX
Zip	:	78570-0430
Country	:	US
Telephone Number	:	956-905-7266
Fax Number	:	956-905-7266

Provider Business Practice Location Address
First Line	:	1202 N MILE 1 E UNIT 116
Second Line	:
City	:	MERCEDES
State	:	TX
Zip	:	78570-0430
Country	:	US
Telephone Number	:	956-905-7266
Fax Number	:	956-905-7266

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

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	01/20/2026

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