Healthcare Provider Details

I. General information

NPI: 1114353265
Provider Name (Legal Business Name): KARINA AMERICA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 LANGDON ST
SPARTANBURG SC
29302-1614
US

IV. Provider business mailing address

PO BOX 5158
SPARTANBURG SC
29304-5158
US

V. Phone/Fax

Practice location:
  • Phone: 864-504-3628
  • Fax: 864-594-0040
Mailing address:
  • Phone: 864-504-3628
  • Fax: 864-594-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12085
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: