Individual
SAMANTHA BREYFOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
3425 N FUTRALL DR, FAYETTEVILLE, AR 72703-4811
(479) 713-8000
(479) 713-8375
Mailing address
1900 KIMBROUGH ST APT A, SPRINGDALE, AR 72762-1523
(479) 800-1555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2405006
AR
106H00000X
Marriage & Family Therapist
M2406004
AR
Other
Enumeration date
07/25/2024
Last updated
03/13/2025
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