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BRISA S SAMUDIO LCSW
NPI 1366752347
Counselor - Mental Health in Memphis, TN

Active since October 08, 2010
5587 MURRAY AVE STE 205, MEMPHIS, TN 38119(310) 879-5554 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brisa S Samudio Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRISA S SAMUDIO LCSW (NPI 1366752347) is an individual mental health provider in Memphis, Tennessee, licensed in California (29644) and active in the NPI registry since October 2010. She maintains a secondary practice location in North Hollywood.

NPPES Registry Identity

NPI1366752347
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRISA S SAMUDIOCredential: LCSW
Location Address5587 MURRAY AVE STE 205Memphis, TN 38119-0896
Mailing Address5587 Murray Ave Ste 205Memphis, TN 38119-0896 · (310) 879-5554
Phone(310) 879-5554
Sole ProprietorNo
Enumeration DateOctober 8, 2010
Last NPPES UpdateSeptember 24, 2019
✔ NPI 1366752347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 29644
5587 MURRAY AVE STE 205, Memphis, TN 38119
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Secondary Practice Location 1

Location 15200 Lankershim Blvd, Suite 170North Hollywood, CA 91601-3155 · Phone (818) 980-3200 · Fax (818) 980-3203

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMARA CENTER, PLLC
Social Worker (Clinical)
5587 MURRAY AVE STE 205
MEMPHIS, TN 38119
Shelby County (310) 879-5554
E3 COMMUNITY HEALTH/ ENGAGE. EDUCATE. EMPOWER. COMMUNITY HEALTH
Community/Behavioral Health
5587 MURRAY AVE STE 205
MEMPHIS, TN 38119
Shelby County (901) 729-9767
KEITH FREDERIC TLPC-MHSP
Counselor (Mental Health)
5587 MURRAY AVE STE 205
MEMPHIS, TN 38119
Shelby County (901) 501-7119
SAMARA FOUNDATION
Social Worker
5587 MURRAY AVE STE 205
MEMPHIS, TN 38119
Shelby County (901) 729-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brisa Samudio's NPI number?

The NPI number for Brisa Samudio is 1366752347. It was assigned to this individual provider in the NPPES registry on October 8, 2010.

Where is Brisa Samudio located?

Brisa Samudio practices at 5587 Murray Ave Ste 205, Memphis, TN 38119. The listed phone number is (310) 879-5554.

What is Brisa Samudio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brisa Samudio was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.