Provider Demographics
NPI:1811041783
Name:KARLIX, KRYSLA K (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KRYSLA
Middle Name:K
Last Name:KARLIX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KRYSLA
Other - Middle Name:THRELKELD
Other - Last Name:KARLIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:520 E CENTRAL PARKWAY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074
Mailing Address - Country:US
Mailing Address - Phone:972-333-1686
Mailing Address - Fax:
Practice Address - Street 1:520 E CENTRAL PARKWAY
Practice Address - Street 2:SUITE 107
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074
Practice Address - Country:US
Practice Address - Phone:972-333-1686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21247103T00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0018KMOtherBLUE CROSS BLUE SHIELD PR
TX00817HMedicare ID - Type Unspecified