Organization
SAMARA COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE DAVID LCSW (PSYCHOTHERAPIST / OWNER)
(414) 232-8606
Entity
Organization
Contact information
Practice address
10521 W FOREST HOME AVE STE 301, HALES CORNERS, WI 53130-2063
(414) 293-2493
Mailing address
10521 W FOREST HOME AVE STE 301, HALES CORNERS, WI 53130-2063
(414) 293-2493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/12/2024
Last updated
04/09/2024
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