Individual
SAMANTHA BARSTACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
4205 HILLSBORO PIKE, NASHVILLE, TN 37215-3336
(615) 398-1292
Mailing address
149 PIEDMONT AVE, NASHVILLE, TN 37216-4009
(602) 423-0220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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