Provider Demographics
NPI:1578382941
Name:CHRISTENSEN, SAMANTHA J (PLMHP)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:J
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 WEST 8TH AVENUE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048
Mailing Address - Country:US
Mailing Address - Phone:402-650-6935
Mailing Address - Fax:
Practice Address - Street 1:2380 WEST 8TH AVENUE
Practice Address - Street 2:SUITE 7
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048
Practice Address - Country:US
Practice Address - Phone:402-650-6935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14111101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health