Provider Demographics
NPI:1518510478
Name:BELING, KARRI
Entity Type:Individual
Prefix:
First Name:KARRI
Middle Name:
Last Name:BELING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 CENTER ST BLDG E
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-5229
Mailing Address - Country:US
Mailing Address - Phone:207-219-0119
Mailing Address - Fax:
Practice Address - Street 1:155 CENTER ST BLDG E
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5229
Practice Address - Country:US
Practice Address - Phone:207-219-0119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC174521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical