Individual provider · Type 1 NPI

Samantha Rose Bautista, LMHC

Mental Health Counselor · Glen Cove, NY

NPI number 1124960224 Active

Practice location

113 Glen Cove Ave
Glen Cove, NY 11542-3438

Mailing address

36 Hennessey Dr
Huntington, NY 11743-3828

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X015486 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1124960224

Samantha Rose Bautista, LMHC's National Provider Identifier is 1124960224, issued on Apr 7, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Cove, NY. The record was last updated on Apr 7, 2026.