Healthcare Provider Details

I. General information

NPI: 1750142733
Provider Name (Legal Business Name): KARIN WHITE LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 US HIGHWAY 221A
FOREST CITY NC
28043-5902
US

IV. Provider business mailing address

314 US HIGHWAY 221A
FOREST CITY NC
28043-5902
US

V. Phone/Fax

Practice location:
  • Phone: 828-202-3075
  • Fax:
Mailing address:
  • Phone: 828-202-3075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number29712
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA19606
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: