Provider Demographics
NPI:1184169567
Name:KARLOSKY, STEPHANIE (LPC/MHSP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:KARLOSKY
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 LEE SEMINARY RD
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-6458
Mailing Address - Country:US
Mailing Address - Phone:931-261-5140
Mailing Address - Fax:
Practice Address - Street 1:1747 LEE SEMINARY RD
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-6458
Practice Address - Country:US
Practice Address - Phone:931-261-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health