Healthcare Provider Details

I. General information

NPI: 1922655976
Provider Name (Legal Business Name): MIA ELIZABETH KARAM LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2019
Last Update Date: 01/26/2025
Certification Date: 01/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 EAST MAIN STREET
WHITEHALL OH
43213
US

IV. Provider business mailing address

3115 N WILKE RD STE HIO
ARLINGTON HEIGHTS IL
60004-1400
US

V. Phone/Fax

Practice location:
  • Phone: 614-251-0103
  • Fax:
Mailing address:
  • Phone: 614-294-2661
  • Fax: 614-294-3247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: