SAMANTHA NICOLE ROUSEY CAC I NPI 1033372651

NPI Information

NPI: 1033372651
Provider Name: SAMANTHA NICOLE ROUSEY, CAC I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
405 PETTIGRU ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 271-3549
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Samantha Nicole Rousey, CAC I is an addiction (substance use disorder) counselor in Greenville, SC. Samantha Nicole Rousey, CAC I NPI is 1033372651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 PETTIGRU ST
GREENVILLE, SC
ZIP 29601-114
Phone: (864) 271-3549

The enumeration date for this NPI number is 7/3/2008 and was last updated on 10/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	301100	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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