Provider Demographics
NPI:1508759010
Name:MINGLE, SAMANTHA LEAH
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LEAH
Last Name:MINGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:LEAH
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:282 MIRIAH DR
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-5307
Mailing Address - Country:US
Mailing Address - Phone:931-205-3659
Mailing Address - Fax:
Practice Address - Street 1:101 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2682
Practice Address - Country:US
Practice Address - Phone:931-386-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor