Provider Demographics
NPI:1710699467
Name:KARIN CLEMENTS COUNSELING PLLC
Entity Type:Organization
Organization Name:KARIN CLEMENTS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CLEMENTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-309-1834
Mailing Address - Street 1:4459 SMELLEY RD
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-6117
Mailing Address - Country:US
Mailing Address - Phone:903-309-1834
Mailing Address - Fax:
Practice Address - Street 1:1011 W LOOP 281 STE 5
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2932
Practice Address - Country:US
Practice Address - Phone:903-309-1834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty