Provider Demographics
NPI:1396282703
Name:HARTLEP, KARLA (LCMFT)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:HARTLEP
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 N RIDGE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-6389
Mailing Address - Country:US
Mailing Address - Phone:316-409-0565
Mailing Address - Fax:
Practice Address - Street 1:515 N RIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-6389
Practice Address - Country:US
Practice Address - Phone:316-409-0565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LMFT 2811106H00000X
KS2911106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist