Healthcare Provider Details

I. General information

NPI: 1740484203
Provider Name (Legal Business Name): KAREN SUE CARR M.A., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OUTPATIENT SERVICES-KINGSTON; 12998 VILLAGE RD. STRONG FAMILY DEVELOPMENT:
KINGSTON OK
74820
US

IV. Provider business mailing address

RESOURCE MANAGEMENT 1300 HOPPE BLVD., SUITE 1
ADA OK
74820
US

V. Phone/Fax

Practice location:
  • Phone: 580-564-3060
  • Fax: 580-564-3605
Mailing address:
  • Phone: 580-436-7211
  • Fax: 580-272-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: