Healthcare Provider Details

I. General information

NPI: 1912506254
Provider Name (Legal Business Name): KARA OLFERT MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 06/10/2023
Certification Date: 06/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 LAMAR AVE
PARIS TX
75460-5013
US

IV. Provider business mailing address

3025 LAMAR AVE
PARIS TX
75460-5013
US

V. Phone/Fax

Practice location:
  • Phone: 903-715-4480
  • Fax: 903-723-8211
Mailing address:
  • Phone: 903-715-4480
  • Fax: 903-723-8211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: