Basic Information
| Provider Information | |||||||||
| NPI: | 1003808189 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KARCHER | ||||||||
| FirstName: | HOLLIS | ||||||||
| MiddleName: | KAY | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21830 MARTINWOOD DR | ||||||||
| Address2: | |||||||||
| City: | COUNCIL BLUFFS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 515036005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7123289733 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | HEARTLAND FAMILY SERVICE | ||||||||
| Address2: | 515 EAST BROADWAY | ||||||||
| City: | COUNCIL BLUFFS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 51503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7123221407 | ||||||||
| FaxNumber: | 7123226833 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | LMSW 06145 | IA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.