Provider Demographics
NPI:1104400332
Name:KARA ZOOLAKIS LCSW-C LLC
Entity Type:Organization
Organization Name:KARA ZOOLAKIS LCSW-C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOOLAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-871-6042
Mailing Address - Street 1:2917 SHAWS RD
Mailing Address - Street 2:
Mailing Address - City:EDGEMERE
Mailing Address - State:MD
Mailing Address - Zip Code:21219-2411
Mailing Address - Country:US
Mailing Address - Phone:443-871-6042
Mailing Address - Fax:
Practice Address - Street 1:9199 REISTERSTOWN RD STE 204B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4593
Practice Address - Country:US
Practice Address - Phone:443-871-6042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty