Provider Demographics
NPI:1134379233
Name:KARAHALIAS, EUGENIA ELAINE (LCSW-R, CASAC, CCH)
Entity type:Individual
Prefix:MS
First Name:EUGENIA
Middle Name:ELAINE
Last Name:KARAHALIAS
Suffix:
Gender:F
Credentials:LCSW-R, CASAC, CCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 GREAT EAST NECK RD
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-7821
Mailing Address - Country:US
Mailing Address - Phone:516-456-4490
Mailing Address - Fax:877-235-1560
Practice Address - Street 1:180 GREAT EAST NECK RD
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-7821
Practice Address - Country:US
Practice Address - Phone:516-456-4490
Practice Address - Fax:877-235-1560
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10936101YA0400X
NY73 0546571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)