Individual
SAMANTHA PANCAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 MARION PIKE STE 1, COAL GROVE, OH 45638-2958
(740) 237-4981
(740) 870-2073
Mailing address
323 MARION PIKE STE 1, COAL GROVE, OH 45638-2958
(740) 237-4981
(740) 870-2073
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
PRS.007621
OH
Other
Enumeration date
11/24/2025
Last updated
03/24/2026
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