Healthcare Provider Details

I. General information

NPI: 1356752927
Provider Name (Legal Business Name): KAREN CARR LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9940 ALVATON ROAD
ALVATON KY
42122
US

IV. Provider business mailing address

9940 ALVATON ROAD
ALVATON KY
42122
US

V. Phone/Fax

Practice location:
  • Phone: 270-746-6600
  • Fax: 270-842-9008
Mailing address:
  • Phone: 270-746-6600
  • Fax: 270-842-9008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1665
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: