Provider Information for 1306335963
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SAMANTHA CLAIRE AGGELES LPC
Other Names:Former Name:SAMANTHA SAMMISSex: Female
NPI: 1306335963
Last Updated: 2024-06-30
Certification Date: 2024-06-30
Certification Date: 2024-06-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306335963 | ||||||||
| Enumeration Date | 2018-05-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 822 CORRAL DR CHARLESTON, SC 29414-5117 United States Phone: 443-799-0414 | Fax: | ||||||||
| Primary Practice Address | 21 GAMECOCK AVE STE E CHARLESTON, SC 29407-3368 United States Phone: 843-640-5386 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|