IndividualActive
Alexa Samuelson
NPI 1336831817 · Marriage & Family Therapist · Lake Grove, NY
Provider details
- NPI number
- 1336831817
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2233 Nesconset Hwy Ste 201
Lake Grove, NY 11755-1000
Phone: (631) 786-8930
Fax: (631) 256-5229
Approximate (ZIP-level) locationGet directions
Mailing address
34a N Country Rd
Mount Sinai, NY 11766-1528
Registry dates
- Enumerated
- 2023-05-23
- Last updated
- 2023-05-23
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.