Provider Demographics
NPI:1386367159
Name:MICHAEL SAMPSON LMHC LLC
Entity type:Organization
Organization Name:MICHAEL SAMPSON LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-206-2300
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01014-0051
Mailing Address - Country:US
Mailing Address - Phone:413-206-2300
Mailing Address - Fax:
Practice Address - Street 1:24 MARION ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-2557
Practice Address - Country:US
Practice Address - Phone:413-206-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)