Provider Demographics
NPI:1235343385
Name:YOWELL, KAREN ELIZABETH (LCMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:YOWELL
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ELIZABETH
Other - Last Name:MORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:517 NOTTINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-1333
Mailing Address - Country:US
Mailing Address - Phone:912-463-2231
Mailing Address - Fax:
Practice Address - Street 1:1404 RAEFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5028
Practice Address - Country:US
Practice Address - Phone:910-703-2362
Practice Address - Fax:910-475-1187
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13024101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC3430Medicare PIN
SC421504Medicaid