Healthcare Provider Details

I. General information

NPI: 1093146326
Provider Name (Legal Business Name): KARI OVERHEIM CRC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 S 2ND AVE STE D
CLARION PA
16214-2464
US

IV. Provider business mailing address

364 TYLERSBURG RD
LEEPER PA
16233-3028
US

V. Phone/Fax

Practice location:
  • Phone: 814-900-4510
  • Fax:
Mailing address:
  • Phone: 412-580-4363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007279
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: