Provider Demographics
NPI:1184832529
Name:SAMUELS, JOY (LPCMH)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:SAMUELS
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 WINDMERE CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8941
Mailing Address - Country:US
Mailing Address - Phone:615-574-9946
Mailing Address - Fax:
Practice Address - Street 1:100 VINE CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2052
Practice Address - Country:US
Practice Address - Phone:615-383-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health