Individual provider · Type 1 NPI

Samantha Mary Hallock

Mental Health Counselor · Lake Grove, NY

NPI number 1669327276 Active

Practice location

2233 Nesconset Hwy
Lake Grove, NY 11755-1000

Mailing address

122 S Penataquit Ave
Bay Shore, NY 11706-8825

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X016751 (NY)

Mental Health Counselor: Definition to come...

22 other providers at this address

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About NPI 1669327276

Samantha Mary Hallock's National Provider Identifier is 1669327276, issued on Feb 27, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Grove, NY. The record was last updated on Feb 27, 2026.