Basic Information
| Provider Information | |||||||||
| NPI: | 1891217253 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MANSPEAKER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 437 TUTTLES GROVE RD | ||||||||
| Address2: | |||||||||
| City: | BEAUFORT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285167625 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 437 TUTTLES GROVE ROAD | ||||||||
| Address2: | |||||||||
| City: | BEAUFORT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285162856 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2526366007 | ||||||||
| FaxNumber: | 2526366007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2017 | ||||||||
| LastUpdateDate: | 07/07/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.