Mitra, Samantha Monika

Mitra, Samantha Monika is an individual health care provider with primary practice located at 1155 Northland Dr , Mendota Heights MN 55120-1288. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mitra, Samantha Monika can be contacted via phone (612) 223-8898.

Contact Information

Primary practice address
1155 Northland Dr Mendota Heights MN 55120-1288
Phone: (612) 223-8898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 8041 Minnesota

Profile Details

NPI number 1871255182
LBN Legal business name Mitra, Samantha Monika
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2021
Last updated Nov 3rd, 2023 - about 3 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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