Individual provider · Type 1 NPI

Samantha Taylor Southard, LMHC

Mental Health Counselor · Staten Island, NY

NPI number 1043818271 Active

Practice location

2285 Victory Blvd Ste 1
Staten Island, NY 10314-6631

Call (646) 389-3797 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X014490 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1043818271

Samantha Taylor Southard, LMHC's National Provider Identifier is 1043818271, issued on Oct 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Jun 7, 2024.