Individual provider · Type 1 NPI

Lyniece S. Sample, BS, CTACC, QMHS

Community/Behavioral Health Agency · Dayton, OH

NPI number 1639036320 Active

Practice location

201 Riverside Dr Ste 2A
Dayton, OH 45405-4956

Call (937) 244-3767 Map

Mailing address

2602 Colonial Pkwy
Beavercreek, OH 45434-6288

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1639036320

Lyniece S. Sample, BS, CTACC, QMHS's National Provider Identifier is 1639036320, issued on Jan 6, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Dayton, OH. The record was last updated on Jan 6, 2026.