Samantha Elaine Byrne, LPC
Counselor, Professional in Sylvania, OH. Individual provider (NPI-1).
NPI number1417438946
StatusActive
Last updated in NPPESJun 19, 2025
Details
- NPI
- 1417438946
- Entity type
- Individual (NPI-1)
- Name
- Samantha Elaine Byrne
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2018
- Certification date
- Jun 19, 2025
- Last updated
- Jun 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E.2102499 | OH | Yes |
Other names
- Samantha Elaine Gordon (Other Name)
Practice location
5648 Main StSylvania, OH 43560-3940
Phone 734-645-0301
Mailing address
607 Kitlou CtHolland, OH 43528-9170
Phone 734-645-0301
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