Samantha Dunaway, MACC, LCMHCA, NCC
Counselor, Professional in Charlotte, NC. Individual provider (NPI-1).
NPI number1801409388
StatusActive
Last updated in NPPESAug 25, 2020
Details
- NPI
- 1801409388
- Entity type
- Individual (NPI-1)
- Name
- Samantha Dunaway
- Credential
- MACC, LCMHCA, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2020
- Certification date
- Aug 25, 2020
- Last updated
- Aug 25, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Jul 18, 2024 to Jul 18, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | A15971 | NC | Yes |
Practice location
7401 Carmel Executive Park Dr Ste 210Charlotte, NC 28226-0406
Phone 704-752-8414 · Fax 704-544-1109
Mailing address
7401 Carmel Executive Park Dr Ste 210Charlotte, NC 28226-0406
Phone 704-752-8414 · Fax 704-544-1109
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