Provider Demographics
NPI:1316402480
Name:OHARA, CARLA DAWN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:DAWN
Last Name:OHARA
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9477 FORT WORTH DR
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-9371
Mailing Address - Country:US
Mailing Address - Phone:940-240-0500
Mailing Address - Fax:
Practice Address - Street 1:9477 FORT WORTH DR
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-9371
Practice Address - Country:US
Practice Address - Phone:940-240-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional