Healthcare Provider Details

I. General information

NPI: 1962646810
Provider Name (Legal Business Name): KAREN BETH OHNHEISER-REISCHLING M.ED; LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2009
Last Update Date: 06/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 CANYON RIDGE DRIVE
BOERNE TX
78006
US

IV. Provider business mailing address

114 CANYON RIDGE DRIVE
BOERNE TX
78006
US

V. Phone/Fax

Practice location:
  • Phone: 210-323-5397
  • Fax: 830-792-5771
Mailing address:
  • Phone: 210-323-5397
  • Fax: 830-258-5429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19758
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: