Samantha Fredericks, LMHC
Counselor, Mental Health in Miami, FL. Individual provider (NPI-1).
NPI number1114665239
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1114665239
- Entity type
- Individual (NPI-1)
- Name
- Samantha Fredericks
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 27, 2022
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | TPMC8283 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | 018140 | NY |
Practice location
80 Sw 8th St Ste 2000Miami, FL 33130-3038
Phone 323-205-7088 · Fax 833-419-0181
Mailing address
503 E 83rd St Apt 4wNew York, NY 10028-7230
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