National Provider Identifier
Samantha Aisha Chiles, R1490301122
Samantha Aisha Chiles, R1490301122 is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Venice, CA and a listed phone number of (310) 392-3070.
Source: public NPPES record, last updated December 16, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1144932542
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- December 16, 2022
- Last Updated
- December 16, 2022
Practice Location
- 503 Ocean Front Walk
- Venice, CA 90291-2403
Phone: (310) 392-3070
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Samantha Aisha Chiles is a Venice-based counselor whose public profile is tied to Phoenix Houses, a behavioral health organization focused on substance use disorder treatment. Publicly available sources do not show a separate official biography, training profile, faculty role, or board-certification record.
Full Record
- NPI
- 1144932542
- Entity Type
- Individual
- Last Name
- Chiles
- First Name
- Samantha
- Middle Name
- Aisha
- Credential
- R1490301122
- Mailing Street Address
- 503 Ocean Front Walk
- Mailing City
- Venice
- Mailing State
- CA
- Mailing ZIP Code
- 90291-2403
- Mailing Country
- US
- Mailing Phone
- (310) 392-3070
- Practice Street Address
- 503 Ocean Front Walk
- Practice City
- Venice
- Practice State
- CA
- Practice ZIP Code
- 90291-2403
- Practice Country
- US
- Practice Phone
- (310) 392-3070
- Enumeration Date
- December 16, 2022
- Last Updated
- December 16, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 16, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- R1490301122 (CA)