Samantha D'Esti Eisenhart-Petko in South Lyon - Professional
Samantha D'Esti Eisenhart-Petko - NPI 1629293261
Samantha D'Esti Eisenhart-Petko is a Professional in South Lyon, Michigan. Samantha D'Esti Eisenhart-Petko practices all healthcare services and medical treatments related to Professional. The NPI Number for Samantha D'Esti Eisenhart-Petko is 1629293261. The last update date is 2009-11-05.
Samantha D'Esti Eisenhart-Petko's current location address is 60657 S Lyon Trl, South Lyon, Michigan. You can contact this provider via phone number 3213560146. The mailing address for Samantha D'Esti Eisenhart-Petko is 60657 S Lyon Trl, South Lyon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha D'Esti Eisenhart-Petko |
|---|---|
| Address | 60657 S Lyon Trl, South Lyon, Michigan |
| Phone Number | 3213560146 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMHC, LPC |
NPI Number Detail
| NPI Number | 1629293261 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2009-11-05 |
Provider Mailing Address Detail
| Address | 60657 S Lyon Trl |
|---|---|
| City | South Lyon |
| State | Michigan (MI) |
| Post Code | 481789054 |
| Phone Number | 3213560146 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 6401011614 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code assigned to Samantha D'Esti Eisenhart-Petko by the Centers for Medicare & Medicaid Services?
The Samantha D'Esti Eisenhart-Petko has been issued the NPI (National Provider Identifier) 1629293261 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Samantha D'Esti Eisenhart-Petko located?
The Samantha D'Esti Eisenhart-Petko is located at 60657 S Lyon Trl, South Lyon, MI 481789054.
What is Samantha D'Esti Eisenhart-Petko's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Samantha D'Esti Eisenhart-Petko is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629293261 to Samantha D'Esti Eisenhart-Petko?
The Samantha D'Esti Eisenhart-Petko received its 1629293261 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date was the information pertaining to Samantha D'Esti Eisenhart-Petko, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Samantha D'Esti Eisenhart-Petko, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-11-05.