Healthcare Provider Details

I. General information

NPI: 1932680295
Provider Name (Legal Business Name): KARRAH BARHORST MS, LADAC II
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARRAH SHIRKEY

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 04/28/2024
Certification Date: 04/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 PROFESSIONAL PARK DR
LOUISA KY
41230-9644
US

IV. Provider business mailing address

1709 CASON LN APT 1311
MURFREESBORO TN
37128-3120
US

V. Phone/Fax

Practice location:
  • Phone: 606-638-4332
  • Fax:
Mailing address:
  • Phone: 606-548-3531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1604
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: