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

Individual provider Mental Health Counselor · NPI 1043818271

Samantha Taylor Southard, LMHC is a Mental Health Counselor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

2285 Victory Blvd Ste 1
Staten Island, NY 10314-6631
Phone: (646) 389-3797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 014490 (NY)

Record details

NPI number1043818271
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorYes
NPI enumeratedOctober 10, 2020
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

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