Individual
MRS. CARLY M. SAMUDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
1604 WESTGATE CIR STE 240, BRENTWOOD, TN 37027-8578
(615) 543-5543
Mailing address
4005 LEXIE LN, SPRING HILL, TN 37174-6590
(410) 562-1365
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
4607
TN
Other
Enumeration date
04/01/2014
Last updated
04/06/2023
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