Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimtoiya Oneal Sam, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639622467

Kimtoiya Oneal Sam, LCAC is an Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2016

Practice location Address checks out

3430 Cork Bend Dr
Indianapolis, IN 46239-7669
Phone: (317) 966-7772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 87000037A (IN)

Record details

NPI number1639622467
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAC
Sole proprietorYes
NPI enumeratedJuly 28, 2016
Last updated in NPPESJuly 28, 2016

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