Provider Demographics
NPI:1629721501
Name:MOUNTAIN TOP PSYCHOTHERAPY, PLLC
Entity Type:Organization
Organization Name:MOUNTAIN TOP PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KARAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-446-2578
Mailing Address - Street 1:PO BOX 2852
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-2852
Mailing Address - Country:US
Mailing Address - Phone:410-446-2578
Mailing Address - Fax:
Practice Address - Street 1:913 SW HIGGINS AVE STE 202
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1423
Practice Address - Country:US
Practice Address - Phone:410-446-2578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty