Provider Demographics
NPI:1710863998
Name:MORRIGAN, SAMANTHA (MS)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:MORRIGAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 CALISTA AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05851-9016
Mailing Address - Country:US
Mailing Address - Phone:802-745-8232
Mailing Address - Fax:
Practice Address - Street 1:67 EASTERN AVE STE 307
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-5642
Practice Address - Country:US
Practice Address - Phone:802-745-8232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health