SAMANTHA L CHARBONNEAU PA (NPI# 1356878128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356878128 |
| Entity Type | Organization |
| Organization Name | SAMANTHA L CHARBONNEAU PA |
| Practice Address |
101 Timberlachen Cir Ste 201 Lake Mary FL 32746-6124 |
| Practice Telephone | 4074663467 |
| Practice Fax Number | 4075495987 |
| Mailing Telephone | 4074663467 |
| Mailing Fax Number | 4075495987 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MRS. SAMANTHA LYNN CHARBONNEAU (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 4074663467 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT2058 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI TYPE 1 | 1982634275 | 01 |
| Street Address |
101 TIMBERLACHEN CIR STE 201 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982634275 | Samantha L Charbonneau | Marriage & Family Therapist | 101 Timberlachen Cir Ste 201, Lake Mary, FL 32746-6124 | 2006-07-03 |
| 1669034880 | Positive Changes 4 Women Inc | Social Worker | 101 Timberlachen Cir Ste 201, Lake Mary, FL 32746-6124 | 2019-07-09 |
| 1740842095 | Elizabeth Ramirez | Social Worker | 101 Timberlachen Cir Ste 201, Lake Mary, FL 32746-6124 | 2019-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639696917 | Elizabeth Leppaluoto Holt | Marriage & Family Therapist | 1054 Henley Downs Pl, Lake Mary, FL 32746-1972 | 2017-08-28 |
| 1427585751 | Melanie Mason | Marriage & Family Therapist | 3074 W Lake Mary Blvd Ste 132, Lake Mary, FL 32746-6749 | 2017-05-17 |
| 1497032072 | Jennifer Crispo | Marriage & Family Therapist | 175 Middle St Unit 1201, Lake Mary, FL 32746-3625 | 2011-11-09 |
| 1982634275 | Samantha L Charbonneau | Marriage & Family Therapist | 101 Timberlachen Cir Ste 201, Lake Mary, FL 32746-6124 | 2006-07-03 |
| 1609276690 | Shawn Riker | Marriage & Family Therapist | 101 Timberlachen Cir, Suite 201, Lake Mary, FL 32746-6124 | 2014-08-27 |
| 1649548785 | Rosa M Salja-mota | Marriage & Family Therapist | 2500 W Lake Mary Blvd, Suite 107, Lake Mary, FL 32746-3501 | 2011-12-04 |
| 1720388408 | Elizabeth Hertenstein | Marriage & Family Therapist | 3256 W Lake Mary Blvd, Suite 1100, Lake Mary, FL 32746-3588 | 2010-10-27 |
| 1962734525 | Heidi Yolanda Sposato | Marriage & Family Therapist | 142 W Lakeview Ave, Suite 2010, Lake Mary, FL 32746-2908 | 2010-02-08 |
| 1124257258 | Rhonda D Baker | Marriage & Family Therapist | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-4713 | 2009-07-10 |
| 1447493192 | Jacqueline L Williams | Marriage & Family Therapist | 3599 W Lake Mary Blvd, Suite B, Lake Mary, FL 32746-3417 | 2009-04-10 |
| Find all providers in LAKE MARY | ||||
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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.