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Samantha Avis Counseling Llc

Counselor

Behavioral Health & Social Service Providers

7000 Houston Rd Ste 2, Florence, KY 41042-4874

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Avis Counseling Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1467153908
Provider Type
Organization
Full Name
Samantha Avis Counseling Llc

Subpart
No
Enumeration Date
3/13/2023
Last Updated
3/28/2024

Contact Information

Practice Location

7000 Houston Rd Ste 2, Florence, KY 41042-4874

(513) 277-1013

(859) 993-6958

Mailing Location

1198 Crosspointe Dr, Hebron, KY 41048-7330

(513) 277-1013

Unlisted Fax

Authorized Official

Avis, Samantha (Owner)

(513) 277-1013

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Samantha Avis Counseling Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Mcdonald, Stephanie M

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Gilbert, Haley

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