Healthcare Provider Details

I. General information

NPI: 1467588962
Provider Name (Legal Business Name): KARA ELIZABETH NEWINGHAM LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS KARA ELIZABETH GAROFAS

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 HODGES ST
LAKE CHARLES LA
70601-7366
US

IV. Provider business mailing address

2706 HODGES ST
LAKE CHARLES LA
70601-7366
US

V. Phone/Fax

Practice location:
  • Phone: 337-491-1740
  • Fax: 337-491-1741
Mailing address:
  • Phone: 337-491-1740
  • Fax: 337-491-1741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4072
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: