Provider Demographics
NPI:1164486072
Name:FURLIN, KAREN NANCY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:NANCY
Last Name:FURLIN
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 1:1801 NORTH LOOP W
Mailing Address - Street 2:SUITE 12
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1444
Mailing Address - Country:US
Mailing Address - Phone:713-868-2908
Mailing Address - Fax:713-864-2395
Practice Address - Street 1:1801 NORTH LOOP W
Practice Address - Street 2:SUITE 12
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1444
Practice Address - Country:US
Practice Address - Phone:713-868-2908
Practice Address - Fax:713-864-2395
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10038411Medicaid