Healthcare Provider Details

I. General information

NPI: 1881414100
Provider Name (Legal Business Name): LAURA E KARNES MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2024
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 MODRED ST
LAFAYETTE CO
80026-1936
US

IV. Provider business mailing address

1007 MODRED ST
LAFAYETTE CO
80026-1936
US

V. Phone/Fax

Practice location:
  • Phone: 517-515-0223
  • Fax:
Mailing address:
  • Phone: 517-515-0223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0021357
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: