Provider Demographics
NPI:1609325109
Name:LAZAROV, KAROLINA (LPC)
Entity Type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:LAZAROV
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAROLINA
Other - Middle Name:
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 SUMMIT GROVE AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3230
Mailing Address - Country:US
Mailing Address - Phone:267-225-2387
Mailing Address - Fax:
Practice Address - Street 1:26 SUMMIT GROVE AVE STE 211
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3230
Practice Address - Country:US
Practice Address - Phone:267-225-2387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-25
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH003132103K00000X
PAPC008941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst