Provider Demographics
NPI:1376304865
Name:KAROL KING LMFT LLC
Entity Type:Organization
Organization Name:KAROL KING LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:515-635-1162
Mailing Address - Street 1:4685 MERLE HAY RD STE 108
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-1982
Mailing Address - Country:US
Mailing Address - Phone:515-635-1162
Mailing Address - Fax:
Practice Address - Street 1:4685 MERLE HAY RD STE 108
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-1982
Practice Address - Country:US
Practice Address - Phone:515-635-1162
Practice Address - Fax:855-719-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty