Individual
SAMANTHA VILLINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 DUQUESA DR, LAKE ISABELLA, MI 48893-9392
(810) 206-2526
Mailing address
233 FULTON ST E STE 101, GRAND RAPIDS, MI 49503-3262
(714) 371-6273
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101007419
MI
Other
Enumeration date
01/22/2024
Last updated
02/23/2026
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