SAMANTHA ILLANEZ NPI 1073258547

NPI Information

NPI: 1073258547
Provider Name: SAMANTHA ILLANEZ
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2135 W STATE ROAD 434
LONGWOOD, FL
ZIP 32779
Phone: (407) 789-2673
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Samantha Illanez is a mental health counselor in Longwood, FL. Samantha Illanez NPI is 1073258547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2135 W STATE ROAD 434
LONGWOOD, FL
ZIP 32779-983
Phone: (407) 789-2673

The enumeration date for this NPI number is 4/29/2022 and was last updated on 7/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	1041C0700X	Social Worker	Clinical			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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