Basic Information
| Provider Information | |||||||||
| NPI: | 1356743371 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEHRING | ||||||||
| FirstName: | SAMANTHA | ||||||||
| MiddleName: | ROSE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMSW, CAADC | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MCNAMARA | ||||||||
| OtherFirstName: | SAMANTHA | ||||||||
| OtherMiddleName: | ROSE | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LMSW, CAADC | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | RECOVERY ZONE COUNSELING, PLLC | ||||||||
| Address2: | 49 SOUTH MONROE ST. (SUITE# 175) | ||||||||
| City: | MONROE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343078160 | ||||||||
| FaxNumber: | 7343843158 | ||||||||
| Practice Location | |||||||||
| Address1: | RECOVERY ZONE COUNSELING, PLLC | ||||||||
| Address2: | 49 SOUTH MONROE ST. (SUITE# 175) | ||||||||
| City: | MONROE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343078160 | ||||||||
| FaxNumber: | 7343843158 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2014 | ||||||||
| LastUpdateDate: | 02/14/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | L306685 | MI | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YA0400X | C-03159 | MI | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 1041C0700X | 6801096820 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.