Provider Demographics
NPI:1891295226
Name:SAMAROO, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SAMAROO
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 1:26414 LARKSPUR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0305
Mailing Address - Country:US
Mailing Address - Phone:281-301-4999
Mailing Address - Fax:
Practice Address - Street 1:3003 S LOOP W STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1373
Practice Address - Country:US
Practice Address - Phone:713-910-0296
Practice Address - Fax:713-910-0358
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75359101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional