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

Samantha Lynne Johnson, LLPCCRC

Individual provider Professional Counselor · NPI 1104697218

Samantha Lynne Johnson, LLPCCRC is a Professional Counselor in Saint Clair Shores, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

21611 E 11 Mile Rd
Saint Clair Shores, MI 48081-1636
Phone: (586) 944-2902
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6451023282 (MI)

Record details

NPI number1104697218
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLPCCRC
Sole proprietorYes
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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