Provider Demographics
NPI:1801663216
Name:HATFIELD, SAMANTHA NICOLE (LPC ASSOCIATE, NCC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:NICOLE
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:LPC ASSOCIATE, NCC
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:NICOLE
Other - Last Name:HATFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC ASSOCIATE, NCC
Mailing Address - Street 1:216 ADLEY WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6511
Mailing Address - Country:US
Mailing Address - Phone:864-356-3184
Mailing Address - Fax:864-626-3606
Practice Address - Street 1:216 ADLEY WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6511
Practice Address - Country:US
Practice Address - Phone:864-356-3184
Practice Address - Fax:864-626-3606
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19379101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health