Provider Demographics
NPI:1386163764
Name:GALATI, KARLA ANN
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:ANN
Last Name:GALATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 SENTINEL RD
Mailing Address - Street 2:
Mailing Address - City:DORSET
Mailing Address - State:OH
Mailing Address - Zip Code:44032-8736
Mailing Address - Country:US
Mailing Address - Phone:440-487-2263
Mailing Address - Fax:
Practice Address - Street 1:2615 SENTINEL RD
Practice Address - Street 2:
Practice Address - City:DORSET
Practice Address - State:OH
Practice Address - Zip Code:44032-8736
Practice Address - Country:US
Practice Address - Phone:440-487-2263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CS.131079101YA0400X
LICDC.131079101YA0400X
OHE.0700135-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty