Provider Demographics
NPI:1144630674
Name:SAMPSON-SCHNEIDER, VANESSA S (LMHC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:S
Last Name:SAMPSON-SCHNEIDER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2265
Mailing Address - Country:US
Mailing Address - Phone:904-701-7813
Mailing Address - Fax:904-212-6315
Practice Address - Street 1:1636 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2265
Practice Address - Country:US
Practice Address - Phone:904-701-7813
Practice Address - Fax:904-212-6315
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12379101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional