King, Samantha

King, Samantha is an individual health care provider with primary practice located at 126 Sawyer St , South Portland ME 04106-2128. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. King, Samantha can be contacted via phone (704) 477-5212.

Contact Information

Primary practice address
126 Sawyer St South Portland ME 04106-2128
Phone: (704) 477-5212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8344 North Carolina

Profile Details

NPI number 1033504626
LBN Legal business name King, Samantha
Credentials MA, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Jun 3rd, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1033504626 NPPES
North Carolina Other 13856685 CAQH

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