Provider Demographics
NPI:1730803503
Name:KAREN E. WELKER LPC PLLC
Entity type:Organization
Organization Name:KAREN E. WELKER LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WELKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-535-1994
Mailing Address - Street 1:7660 E BROADWAY BLVD STE B-107
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3774
Mailing Address - Country:US
Mailing Address - Phone:832-535-1994
Mailing Address - Fax:
Practice Address - Street 1:7660 E BROADWAY BLVD STE B-107
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3774
Practice Address - Country:US
Practice Address - Phone:832-535-1994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC18518OtherAZ STATE LICENSE