Provider Demographics
NPI:1518329861
Name:LACHARITE, KAREN (LCMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LACHARITE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 RAYMOND RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-5107
Mailing Address - Country:US
Mailing Address - Phone:603-767-8710
Mailing Address - Fax:
Practice Address - Street 1:8 OLD TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:NH
Practice Address - Zip Code:03261-3711
Practice Address - Country:US
Practice Address - Phone:603-410-5810
Practice Address - Fax:603-410-5811
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3078870Medicaid
NH3078870Medicaid