Morgan, Samantha
Morgan, Samantha is an individual health care provider with primary practice located at 6510 Town Center Dr , Clarkston MI 48346-4822. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Morgan, Samantha can be contacted via phone (248) 933-4644.Contact Information
Primary practice address
6510 Town Center Dr
Clarkston MI 48346-4822
Phone: (248) 933-4644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Michigan |
Profile Details
| NPI number | 1932759214 |
|---|---|
| LBN Legal business name | Morgan, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2019 |
| Last updated | Dec 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932759214 | NPPES |
| Michigan | MEDICAID | 2316684909 |
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