Eisenhart-Petkovski, Samantha D'Esti
Eisenhart-Petkovski, Samantha D'Esti is an sole proprietor health care provider with primary practice located at 60657 S Lyon Trl , South Lyon MI 48178-9054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Eisenhart-Petkovski, Samantha D'Esti can be contacted via phone (321) 356-0146.Contact Information
Primary practice address
60657 S Lyon Trl
South Lyon MI 48178-9054
Phone: (321) 356-0146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH8108 | Florida |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401011614 | Michigan |
Profile Details
| NPI number | 1629293261 |
|---|---|
| LBN Legal business name | Eisenhart-Petkovski, Samantha D'Esti |
| Credentials | LMHC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Nov 5th, 2009 - about 17 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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