Provider Demographics
NPI:1861208316
Name:HAGER, KARLI
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:
Last Name:HAGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 PARK RD UNIT 12402
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28220-0067
Mailing Address - Country:US
Mailing Address - Phone:704-216-4568
Mailing Address - Fax:
Practice Address - Street 1:4117 PARK RD UNIT 12402
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28220-0067
Practice Address - Country:US
Practice Address - Phone:704-216-4568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20449A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist