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

Samantha Puckett, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407580111

Samantha Puckett, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone: (919) 893-4465
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 LCAS-28291 (NC)

Record details

NPI number1407580111
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022

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