Provider Demographics
NPI:1558675876
Name:KAREN K. CYR, M.ED., LMHC
Entity Type:Organization
Organization Name:KAREN K. CYR, M.ED., LMHC
Other - Org Name:FOR ALL CHILDREN AND FAMILIES COUNSELING AND CONSULTING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNERLICENSED MENTALHEALTHCOUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:CYR
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMHC
Authorized Official - Phone:509-249-0611
Mailing Address - Street 1:PO BOX 3289
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98903-0289
Mailing Address - Country:US
Mailing Address - Phone:509-249-0611
Mailing Address - Fax:509-388-0635
Practice Address - Street 1:210 S 11TH AVE STE 41
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3221
Practice Address - Country:US
Practice Address - Phone:509-249-0611
Practice Address - Fax:509-388-0635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00010211101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1548300890Medicaid