Provider Demographics
NPI:1417616640
Name:CARDINAL COUNSELING, LLC
Entity Type:Organization
Organization Name:CARDINAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-MHSP
Authorized Official - Phone:615-970-2445
Mailing Address - Street 1:29 INDUSTRIAL PARK DR STE 6
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2824
Mailing Address - Country:US
Mailing Address - Phone:615-970-2445
Mailing Address - Fax:615-827-0301
Practice Address - Street 1:29 INDUSTRIAL PARK DR STE 6
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2824
Practice Address - Country:US
Practice Address - Phone:615-970-2445
Practice Address - Fax:615-827-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)