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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083710222 | Karen Slack | Anesthesiology | 2727 W. Martin Luther King Blvd, Ste #300, Tampa, FL 33607 | 2006-09-15 |
Street Address |
2602 BROOKFIELD DR |
City | MIDWAY PARK |
State | NC |
Zip Code | 28544-1616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 28544 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710710 | Sandra G Inkrote | Counselor | 2599 Lower Moncure Rd, Sanford, NC 27330-9221 | 2020-11-08 |
1780285858 | Michelle Tennant | Counselor | 4140 Dudleys Grant Dr Apt C, Winterville, NC 28590-8342 | 2020-11-05 |
1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
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 |
1679173280 | Rachel Lynn Willms | Counselor | 17 Green Valley Ln, Jackson Springs, NC 27281-9798 | 2020-11-01 |
Find all providers with the same taxonomy |
City | MIDWAY PARK |
Zip Code | 28544 |
Please comment or provide details below to improve the information on MRS. KAREN SUE SLACK.
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.