Individual provider · Type 1 NPI
Samantha D'esti Eisenhart-Petkovski, LMHC, LPC
Professional Counselor · South Lyon, MI
NPI number
1629293261
Active
Practice location
60657 S Lyon Trl
South Lyon, MI 48178-9054
Mailing address
204 Eagle Ct
Bedford, TX 76021-3216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8108 (FL) |
| Professional Counselor | 101YP2500X | 6401011614 (MI) |
| Professional Counselor Primary | 101YP2500X | 77807 (TX) |
Professional Counselor: Definition to come...
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About NPI 1629293261
Samantha D'esti Eisenhart-Petkovski, LMHC, LPC's National Provider Identifier is 1629293261, issued on Apr 17, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Lyon, MI. The record was last updated on Feb 18, 2025.