MRS. KAREN SUE SLACK


Address: 2602 Brookfield Dr, Midway Park, NC 28544-1616
Phone: 9103812527

MRS. KAREN SUE SLACK (NPI# 1023201746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023201746
Entity Type Individual
Full Name MRS. KAREN SUE SLACK
Credential LPC
Practice Address 2602 Brookfield Dr
Midway Park
NC 28544-1616
Practice Telephone 9103812527
Practice Fax Number 9104496240
Mailing Telephone 9103812527
Mailing Fax Number 9104496240
Enumeration Date 2007-08-27
Last Update Date 2007-08-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
4152 NC Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
4152 NC Behavioral Health & Social Service Providers

Other Providers KAREN SLACK

NPI Name Taxonomy Address Enumeration
1083710222 Karen Slack Anesthesiology 2727 W. Martin Luther King Blvd, Ste #300, Tampa, FL 33607 2006-09-15

Office Location

Street Address 2602 BROOKFIELD DR
City MIDWAY PARK
State NC
Zip Code 28544-1616

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1952848020 Elizabeth Morales Behavior Technician 1001 Churchill Way Apt 2e, Midway Park, NC 28544 2017-01-26
1609245307 Kristin Aumann Pharmacist 1003 Churchill Way Apt 3c, Midway Park, NC 28544 2015-09-23
1205121381 Nathaniel David Brooks Pharmacist 175 Freedom Way, K-mart #3815, Midway Park, NC 28544 2011-06-16
1306048269 Paul Preston Military Health Care Provider 2d Recon Bn 2d Mardiv, Clnc, NC 28544 2007-06-04
1770133712 Lucille Gillard Health Educator 464 White Oak Ln, Midway Park, NC 28544-1239 2019-09-11
1336193499 Independent Nephrology Services, Inc. Clinic/Center 241 Freedom Way, Jacksonville, NC 28544-1418 2006-05-20
1457344376 Jennifer Coleman Logan Family Medicine 241b Freedom Way, Jacksonville Va Cboc, Jacksonville, NC 28544-1418 2005-08-25
1689105603 Carolinaeast Physicians Family Medicine 241 Freedom Way, Jacksonville, NC 28544-1418 2017-03-22
1023569514 Sadie Coleman Hardison Audiologist 241 Freedom Way, Jacksonville, NC 28544-1418 2016-10-19
1437454485 Kathleen Lusk Woodul Social Worker 241b Freedom Way, Midway Park, NC 28544-1418 2011-01-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1780285858 Michelle Tennant Counselor 4140 Dudleys Grant Dr Apt C, Winterville, NC 28590-8342 2020-11-05
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1972104008 Kay Counseling, Pllc Counselor 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 2020-11-04
1558962977 Kayla J Oxendine Counselor 86 Threehunts Drive, Pembroke, NC 28372 2020-11-03
1417558834 Oak Path Counseling Group, Pllc Counselor 4285 Highway 24 27 E Ste D, Midland, NC 28107-8505 2020-11-03
1073114666 Amanda Elaine Richardson Counselor 352 W Goldeneye Ln, Sneads Ferry, NC 28460-8096 2020-11-02
1588265144 Blakeney Behavioral Health LLC Counselor 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 2020-11-02
1689274292 Transformation Counseling & Consulting Counselor 7906 Hogan Dr, Wake Forest, NC 27587-6659 2020-11-01
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Competitor

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City MIDWAY PARK
Zip Code 28544

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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