Provider Demographics
NPI:1861608168
Name:KARKANE, AMY ROESLER (LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ROESLER
Last Name:KARKANE
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2364 HAVERSHAM CLOSE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-1153
Mailing Address - Country:US
Mailing Address - Phone:757-412-2288
Mailing Address - Fax:757-462-8262
Practice Address - Street 1:297 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-2911
Practice Address - Country:US
Practice Address - Phone:757-385-0639
Practice Address - Fax:757-473-6157
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002059101YP2500X
VA0717000200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist