Provider Demographics
NPI:1306240130
Name:ROSE, KARIMAH (LMFT-S, LPC-S)
Entity type:Individual
Prefix:
First Name:KARIMAH
Middle Name:
Last Name:ROSE
Suffix:
Gender:F
Credentials:LMFT-S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 HIGHLANDS CV
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-4843
Mailing Address - Country:US
Mailing Address - Phone:254-466-3622
Mailing Address - Fax:
Practice Address - Street 1:2631 GATTIS SCHOOL RD STE 135
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2828
Practice Address - Country:US
Practice Address - Phone:512-298-1324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73205101YP2500X
TX202254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional