Individual provider · Type 1 NPI

Stacy Samuel, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Houston, TX

NPI number 1609685452 Active

Practice location

7601 Fannin St
Houston, TX 77054-1905

Call (713) 715-4297 Map

Mailing address

4413 Bora Bora Ln
Houston, TX 77045-1735

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	1182151 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609685452

Stacy Samuel, PMHNP's National Provider Identifier is 1609685452, issued on Jan 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Houston, TX. The record was last updated on Jun 4, 2025.