1427585694 NPI number — MS. SAMANTHA ARLEATHA-BURNS KNOX LPC

Table of content: MS. SAMANTHA ARLEATHA-BURNS KNOX LPC (NPI 1427585694)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427585694 NPI number — MS. SAMANTHA ARLEATHA-BURNS KNOX LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNOX
Provider First Name:
SAMANTHA
Provider Middle Name:
ARLEATHA-BURNS
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427585694
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/18/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 STEEPLE CHASE WAY APT E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LARGO
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20774-1132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-716-1201
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1555 CONNECTICUT AVE NW STE 500W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20036-1111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-734-3703
Provider Business Practice Location Address Fax Number:
202-745-0233
Provider Enumeration Date:
05/18/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  14914 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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