Individual
SAMANTHA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44031 PIPELINE PLZ STE 305, ASHBURN, VA 20147-5888
(703) 829-6091
Mailing address
44031 PIPELINE PLZ STE 305, ASHBURN, VA 20147-5888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
04/13/2026
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