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Organization

SAMARITAN COUNSELING CENTER OF THE MIDSOUTH

Active
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Organization

SAMARITAN COUNSELING CENTER OF THE MIDSOUTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN FOX-TRAUTMAN (DIRECTOR)
(901) 729-3900
Entity
Organization

Contact information

Practice address
35 S AUBURNDALE ST, MEMPHIS, TN 38104-3916
(901) 729-3900
(901) 729-2737
Mailing address
35 S AUBURNDALE ST, MEMPHIS, TN 38104-3916
(901) 729-3900
(901) 729-2737

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—

Other

Enumeration date
11/22/2006
Last updated
12/15/2025
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