Organization
SAMANTHA GREEN LICENSED MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA GREEN LMHC (OWNER/LEAD THERAPIST)
(585) 755-7811
Entity
Organization
Contact information
Practice address
191 W MAIN ST, WEBSTER, NY 14580-2700
(315) 333-2385
Mailing address
1900 EMPIRE BLVD STE 184, WEBSTER, NY 14580-1934
(585) 755-7811
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376912162
NPI
NY
01
—
1437708047
NPI
NY
Enumeration date
07/14/2025
Last updated
07/14/2025
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