Spillman, Samantha Jo

Spillman, Samantha Jo is an individual health care provider with primary practice located at 1101 Morgan St Suite 8, Paragould AR 72450-3949. 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. Spillman, Samantha Jo can be contacted via phone (870) 335-9483.

Contact Information

Primary practice address
1101 Morgan St Suite 8 Paragould AR 72450-3949
Fax: (870) 335-9487
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1409064 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1409064 Arkansas

Profile Details

NPI number 1255580346
LBN Legal business name Spillman, Samantha Jo
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2008
Last updated May 9th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255580346 NPPES
Arkansas Other 5LL26 BCBS

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