Mrs Carly M Samudre, LPC-MHSP - Counselor in Brentwood, TN

Mrs Carly M Samudre, LPC-MHSP is a Counselor - Mental Health based in Brentwood, Tennessee. Mrs Carly M Samudre is licensed to practice in Tennessee (license number 4607) and her current practice location is 1604 Westgate Cir Ste 240, Brentwood, Tennessee. She can be reached at her office (for appointments etc.) via phone at (615) 543-5543.

NPI number for Mrs Carly M Samudre is 1346668993 and her current mailing address is 4005 Lexie Ln, Spring Hill, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346668993.

Contact Information

Mrs Carly M Samudre, LPC-MHSP
1604 Westgate Cir Ste 240,
Brentwood, TN 37027-8578
(615) 543-5543
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Carly M Samudre
GenderFemale
SpecialityCounselor - Mental Health
Location1604 Westgate Cir Ste 240, Brentwood, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346668993
  • Provider Enumeration Date: 04/01/2014
  • Last Update Date: 04/06/2023

Medical Identifiers

Medical identifiers for Mrs Carly M Samudre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346668993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 4607 (Tennessee)Primary
101Y00000XCounselor (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carly M Samudre is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Carly M Samudre, LPC-MHSP
4005 Lexie Ln,
Spring Hill, TN 37174-6590

Ph: (410) 562-1365
Mrs Carly M Samudre, LPC-MHSP
1604 Westgate Cir Ste 240,
Brentwood, TN 37027-8578

Ph: (615) 543-5543

Reviews and Comments


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