Provider Demographics
NPI:1093008260
Name:PHARIS, KAREN PAUL (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:PAUL
Last Name:PHARIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WOODALE DR
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-4500
Mailing Address - Country:US
Mailing Address - Phone:318-640-6914
Mailing Address - Fax:
Practice Address - Street 1:105 WOODALE DR
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4500
Practice Address - Country:US
Practice Address - Phone:318-640-6914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA28211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical