Individual provider · Type 1 NPI

Samantha Gonzalez, LCSW

Mental Health Counselor · Tucker, GA

NPI number 1265164776 Active

Practice location

2298 Brockett Rd
Tucker, GA 30084-4414

Call (706) 425-8900 Map

Mailing address

1 Huntington Rd Ste 703
Athens, GA 30606-7214

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265164776

Samantha Gonzalez, LCSW's National Provider Identifier is 1265164776, issued on Jun 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucker, GA. The record was last updated on Jan 8, 2026.