Provider Demographics
NPI:1053744946
Name:BARNETT, SAMANTHA LEE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:LEE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:LEE
Other - Last Name:SCHNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:51 POCANTICO ST.
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:914-393-2029
Mailing Address - Fax:
Practice Address - Street 1:1 S GREELEY AVE
Practice Address - Street 2:SUITE 201B
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3346
Practice Address - Country:US
Practice Address - Phone:914-393-2029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health