Doctor Name: | MRS. SAMANTHA ASHLEY WHITE |
NPI Number: | 1003276353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S |
License Number: | LMH 14151 |
Business Practice Address: | 225 S Swoope Ave Ste 211 Maitland, FL - 327515786 |
Business Phone Number: | 4076220444 |
Business Fax Number: | |
Mailing Address: | 225 S Swoope Ave Ste 211, MAITLAND |
State: | FL |
Postal Code: | 327515786 |
Phone Number: | 4076975864 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2016 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMH 14151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |