Healthcare Provider Details

I. General information

NPI: 1013037381
Provider Name (Legal Business Name): BRENDA SUSAN KARIMALIS LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 BROADWAY UNIT 313
ALAMO HEIGHTS TX
78209-2357
US

IV. Provider business mailing address

5500 BROADWAY UNIT 313
ALAMO HEIGHTS TX
78209-2357
US

V. Phone/Fax

Practice location:
  • Phone: 210-289-5557
  • Fax: 210-745-4217
Mailing address:
  • Phone: 210-289-5557
  • Fax: 210-745-4217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17293
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: