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
Phone: (870) 335-9483
Fax: (870) 335-9487
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255580346 | NPPES |
| Arkansas | Other | 5LL26 | BCBS |
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