Provider Demographics
NPI:1679907398
Name:OVERCASH, KARI NICOLE
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:NICOLE
Last Name:OVERCASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 WILLIAMSON RD STE 4
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9138
Mailing Address - Country:US
Mailing Address - Phone:704-550-4538
Mailing Address - Fax:704-255-2021
Practice Address - Street 1:542 WILLIAMSON RD STE 4
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9138
Practice Address - Country:US
Practice Address - Phone:704-550-4538
Practice Address - Fax:704-255-2021
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8096A106H00000X
NC1602106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist