Individual
SAMARAH LYNN NINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7417 KINGSTON PIKE, KNOXVILLE, TN 37919-5606
(703) 861-9862
Mailing address
7417 KINGSTON PIKE, KNOXVILLE, TN 37919-5606
(703) 861-9862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7889
TN
Other
Enumeration date
07/17/2025
Last updated
12/18/2025
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