Clay, Samantha
Clay, Samantha is an individual health care provider with primary practice located at 277 South St Ste T , San Luis Obispo CA 93401-5039. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clay, Samantha can be contacted via phone (805) 781-4754.Contact Information
Primary practice address
277 South St Ste T
San Luis Obispo CA 93401-5039
Phone: (805) 781-4754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 126497 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1508395880 |
|---|---|
| LBN Legal business name | Clay, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Oct 14th, 2024 - about 2 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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