Provider Demographics
NPI:1063214104
Name:KARLA CAMPBELL MA PLLC
Entity type:Organization
Organization Name:KARLA CAMPBELL MA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-213-8971
Mailing Address - Street 1:2460 DISCOVERY PL
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-8324
Mailing Address - Country:US
Mailing Address - Phone:425-213-8371
Mailing Address - Fax:
Practice Address - Street 1:16300 MILL CREEK BLVD STE 204
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1294
Practice Address - Country:US
Practice Address - Phone:425-213-8371
Practice Address - Fax:877-724-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty