# SAMARITAN COUNSELING CENTER OF THE MIDSOUTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619042561
- **Authorized official:** KRISTIN FOX-TRAUTMAN (DIRECTOR)
- **Authorized official phone:** (901) 729-3900

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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
