Provider Demographics
NPI:1326715749
Name:STRICKLAND, SAMANTHA FAYE (LPC/MHSP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:FAYE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2678 TOWNSEND CT UNIT C
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8120
Mailing Address - Country:US
Mailing Address - Phone:931-201-9621
Mailing Address - Fax:
Practice Address - Street 1:2678 TOWNSEND CT UNIT C
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8120
Practice Address - Country:US
Practice Address - Phone:931-201-9621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TN5861101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health