Provider Demographics
NPI:1316756711
Name:PURSLEY, SAMANTHA (MS)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:PURSLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 SHILOH RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-5241
Mailing Address - Country:US
Mailing Address - Phone:931-980-7570
Mailing Address - Fax:
Practice Address - Street 1:223 DUNBAR CAVE RD STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8831
Practice Address - Country:US
Practice Address - Phone:931-444-3219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health