Doctor Name: | LISA MARIE KAROLCHYK |
NPI Number: | 1639409444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A0910113 |
Business Practice Address: | 11321 Interstate 30 Ste 104 Little Rock, AR - 722097042 |
Business Phone Number: | 5012027587 |
Business Fax Number: | 5012026475 |
Mailing Address: | 11401 Interstate 30, LITTLE ROCK |
State: | AR |
Postal Code: | 722097042 |
Phone Number: | 5012026470 |
Fax Number: | 5012026475 |
NPI Enumeration Date: | 12/30/2009 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A0910113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |