Provider Demographics
NPI:1245110162
Name:LEBICZ, SAMANTHA (FNTP, RWP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:LEBICZ
Suffix:
Gender:F
Credentials:FNTP, RWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 JANE RD
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-2151
Mailing Address - Country:US
Mailing Address - Phone:978-979-0406
Mailing Address - Fax:
Practice Address - Street 1:14 JANE RD
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-2151
Practice Address - Country:US
Practice Address - Phone:978-979-0406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach