SAMSON TEKLEMARIAM LPC NPI 1699907501

NPI Information

  • NPI: 1699907501
  • Provider Name: SAMSON TEKLEMARIAM, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 210 EMERSON HEIGHTS DR
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (678) 551-0287

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NPI Details

Samson Teklemariam, LPC is a professional counselor in Woodstock, GA. Samson Teklemariam, LPC NPI is 1699907501. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 EMERSON HEIGHTS DR
WOODSTOCK, GA
ZIP 30188-522
Phone: (678) 551-0287

The enumeration date for this NPI number is 8/12/2009 and was last updated on 5/20/2024.

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
1101YP2500XCounselorProfessional5606SOUTH CAROLINAYes
2101YM0800XCounselorMental HealthNo

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
13000641104OTHERSOUTH CAROLINAWORKER'S COMP
2322842MEDICAIDSOUTH 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: 3/30/2025

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