Healthcare Provider Details

I. General information

NPI: 1225902505
Provider Name (Legal Business Name): EMILY ANN KARL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7417 N BASS LAKE RD
WEBSTER WI
54893-8688
US

IV. Provider business mailing address

7417 N BASS LAKE RD
WEBSTER WI
54893-8688
US

V. Phone/Fax

Practice location:
  • Phone: 715-327-4402
  • Fax:
Mailing address:
  • Phone: 715-327-4402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8710-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: