Provider Demographics
NPI:1528202751
Name:CARMICHAEL, KARLA DELLE (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:DELLE
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3646 19TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-1562
Mailing Address - Country:US
Mailing Address - Phone:205-349-5766
Mailing Address - Fax:
Practice Address - Street 1:3646 19TH AVE NE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-1562
Practice Address - Country:US
Practice Address - Phone:205-349-5766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1138101YP2500X
TX1272101YP2500X
TX101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool