Individual ProviderSamantha AndersonCounselorBehavioral Health & Social Service ProvidersPractice Address28 Westwoods Dr, Liberty, MO 64068-3519(816) 805-2638PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Anderson 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 2 days ago.Profile DetailsProvider ID1457042038Provider TypeIndividualFull NameAnderson, SamanthaGenderFemaleSole ProprietorNoEnumeration Date5/16/2023Last Updated5/16/2023Contact InformationPractice LocationPractice Address28 Westwoods Dr, Liberty, MO 64068-3519Phone(816) 805-2638FaxUnlisted FaxMailing LocationMailing Address10108 NE 98th St, Kansas City, MO 64157-9703Phone(816) 805-2638FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2020036332Missouri