Provider Demographics
NPI:1689476285
Name:B. SAMUEL, DAWN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:B. SAMUEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 LOCKWOOD DR APT SUITE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026-2943
Mailing Address - Country:US
Mailing Address - Phone:832-247-0385
Mailing Address - Fax:
Practice Address - Street 1:4902 LOCKWOOD DR APT SUITE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-2943
Practice Address - Country:US
Practice Address - Phone:832-247-0385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional