Brazen, Samantha K
Brazen, Samantha K is an individual health care provider with primary practice located at 2430 Estancia Blvd Ste 100A , Clearwater FL 33761-2644. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brazen, Samantha K can be contacted via phone (813) 843-1056.Contact Information
Primary practice address
2430 Estancia Blvd Ste 100A
Clearwater FL 33761-2644
Phone: (813) 843-1056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH21416 | Florida |
Profile Details
| NPI number | 1770293052 |
|---|---|
| LBN Legal business name | Brazen, Samantha K |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2022 |
| Last updated | Nov 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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