Provider Demographics
NPI:1174648208
Name:MY CAT KARMA
Entity Type:Organization
Organization Name:MY CAT KARMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MY CAT KARMA INC
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:ESLICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-523-0910
Mailing Address - Street 1:11208 IVY CREEK TRAIL
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27582-6438
Mailing Address - Country:US
Mailing Address - Phone:919-523-0910
Mailing Address - Fax:919-562-6588
Practice Address - Street 1:11208 IVY CREEK TRL
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6438
Practice Address - Country:US
Practice Address - Phone:919-523-0910
Practice Address - Fax:919-562-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC004514101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003363Medicaid