Individual ProviderSamantha Ann AvisCounselorBehavioral Health & Social Service ProvidersPractice Address7000 Houston Rd Ste 2, Florence, KY 41042-4874(513) 277-1013PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Ann Avis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1376943951Provider TypeIndividualFull NameAvis, Samantha AnnCredentialM.ED., LPCCGenderFemaleSole ProprietorNoEnumeration Date9/2/2014Last Updated3/28/2024Contact InformationPractice LocationPractice Address7000 Houston Rd Ste 2, Florence, KY 41042-4874Phone(513) 277-1013Fax(859) 993-6958Mailing LocationMailing Address1198 Crosspointe Dr, Hebron, KY 41048-7330Phone(513) 277-1013FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense172816KentuckyCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense172816Kentucky