SAMANTHA TAYLOR SOUTHARD

STATEN ISLAND, NY
NPI1043818271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  014490)
Enumeration Date2020-10-10
Last Update Date2024-06-07
Business Address
SAMANTHA TAYLOR SOUTHARD LMHC
2285 VICTORY BLVD STE 1
STATEN ISLAND, NY 10314-6631
Phone number: 646-389-3797
Mailing Address
SAMANTHA TAYLOR SOUTHARD LMHC
2285 VICTORY BLVD STE 1
STATEN ISLAND, NY 10314-6631
Phone number: 646-389-3797