MEDICARE: SAMANTHA POSTON 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	5334	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871862144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA POSTON LPC

Provider Business Mailing Address
First Line	:	1294 FOLLY GROVE RD
Second Line	:
City	:	HEMINGWAY
State	:	SC
Zip	:	29554
Country	:	US
Telephone Number	:	216-534-4154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1335 44TH AVE N STE 103
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5978
Country	:	US
Telephone Number	:	216-534-4154
Fax Number	:	843-620-1057

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

Provider Enumeration Date	:	12/15/2011
Last Update Date	:	10/10/2018

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Directions to “ SAMANTHA POSTON LPC” Practice Location

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