Healthcare Provider Details

I. General information

NPI: 1811900640
Provider Name (Legal Business Name): PATRICIA P KARPENKO LPC,CRC,CHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 BELMONT AVE
YOUNGSTOWN OH
44505-2401
US

IV. Provider business mailing address

170 TODD AVE
HERMITAGE PA
16148-1759
US

V. Phone/Fax

Practice location:
  • Phone: 330-740-9200
  • Fax: 330-740-9231
Mailing address:
  • Phone: 724-981-5828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC8118
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: