MEDICARE: MRS. KAREN KAE CYR M.ED., LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH00010211	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LH00010211	OTHER	WA	LICENSED MENTAL HLTH COUN

General Provider Information

NPI Number	:	1548300890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN KAE CYR M.ED., LMHC

Provider Business Mailing Address
First Line	:	1460 N 16TH AVE STE G
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-7102
Country	:	US
Telephone Number	:	509-575-7750
Fax Number	:	509-575-7796

Provider Business Practice Location Address
First Line	:	1460 N 16TH AVE STE G
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-7102
Country	:	US
Telephone Number	:	509-575-7750
Fax Number	:	509-575-7796

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	03/18/2024

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