SAMANTHA MANGRUM (NPI# 1275052003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275052003 |
| Entity Type | Individual |
| Full Name | SAMANTHA MANGRUM |
| Practice Address |
411 E Locust St Union MO 63084-1865 |
| Practice Telephone | 6365848724 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2017009255 | MO | Behavioral Health & Social Service Providers |
| Street Address |
411 E LOCUST ST |
| City | UNION |
| State | MO |
| Zip Code | 63084-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245363183 | Preferred Family Healthcare | Substance Abuse Rehabilitation Facility | 411 E Locust St, Union, MO 63084-1865 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| 1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
| 1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
| 1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
| 1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
| 1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
| 1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
| 1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
| 1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
| Find all providers in zip 63084 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808219 | Sharonda S Johnson | Counselor | 1961 Long Ter, Union, NJ 07083-5406 | 2020-07-21 |
| 1093348203 | Cindy Elaine Walker | Counselor | 2204 Morris Ave # Suitei-4, Union, NJ 07083-5918 | 2020-02-16 |
| 1841848900 | Tara Kapleau | Counselor | 778 Colonial Arms Rd, Union, NJ 07083-7610 | 2019-08-30 |
| 1780168963 | Amy Hall | Counselor | 14 S Washington Ave, Union, MO 63084-1848 | 2018-09-24 |
| 1376044735 | Kathleen Cruise Murphy | Counselor | 6304 Bristol Dr, Union, NJ 07083-2519 | 2018-02-21 |
| 1164920468 | Danielle Lugiano-tarsi | Counselor | 835 Remmos Ave, Union, NJ 07083-6533 | 2018-02-01 |
| 1750893772 | Heather Hanley | Counselor | 342 Greenbriar Dr Unit 3, Union, NJ 07083-8769 | 2017-10-31 |
| 1225574767 | Patsy Ware | Counselor | 28 Timber Dr, Union, MO 63084-1045 | 2017-01-08 |
| 1740632827 | Tea Tree Behavioral Health & Therapy LLC | Counselor | 102 S Mckinley Ave, Union, MO 63084-1814 | 2016-07-12 |
| 1083099626 | Leeann Pennington | Counselor | 15 S Oak St, Union, MO 63084-1817 | 2015-07-24 |
| Find all providers in UNION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.