Individual
MRS. TAMMY JO SAMPSON-CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAS
Contact information
Practice address
2003 GODWIN AVE, LUMBERTON, NC 28358-3149
(910) 739-9063
Mailing address
88 EASTWIND DR, LUMBERTON, NC 28358-6084
(910) 316-5180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508322884
—
NC
Enumeration date
02/12/2019
Last updated
07/18/2025
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