Provider Demographics
NPI:1598408114
Name:KARAHUTA, EVAN HART (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:EVAN
Middle Name:HART
Last Name:KARAHUTA
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 GREENLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-2616
Mailing Address - Country:US
Mailing Address - Phone:614-449-9664
Mailing Address - Fax:
Practice Address - Street 1:880 GREENLAWN AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-2616
Practice Address - Country:US
Practice Address - Phone:610-468-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1801887104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker