Provider Demographics
NPI:1649744814
Name:KARI RANDALL, LLC
Entity Type:Organization
Organization Name:KARI RANDALL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-578-6282
Mailing Address - Street 1:1355 S. COLORADO BLVD
Mailing Address - Street 2:SUITE C-810
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3351
Mailing Address - Country:US
Mailing Address - Phone:303-578-2682
Mailing Address - Fax:
Practice Address - Street 1:1355 S. COLORADO BLVD
Practice Address - Street 2:SUITE C-810
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3351
Practice Address - Country:US
Practice Address - Phone:303-578-2682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty