Provider Demographics
NPI:1467793984
Name:ROMERO, KARA (LPC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 FERN AVE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-4971
Mailing Address - Country:US
Mailing Address - Phone:318-797-0084
Mailing Address - Fax:318-797-0844
Practice Address - Street 1:7330 FERN AVE
Practice Address - Street 2:SUITE 404
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-4971
Practice Address - Country:US
Practice Address - Phone:318-797-0084
Practice Address - Fax:318-797-0844
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional