Provider Demographics
NPI:1427074079
Name:LOFTIS, KAREN PHILEMON (LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:PHILEMON
Last Name:LOFTIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:PHILEMON
Other - Last Name:LOFTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:181 W COURT ST
Mailing Address - Street 2:#21
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-2847
Mailing Address - Country:US
Mailing Address - Phone:828-748-5765
Mailing Address - Fax:888-286-7470
Practice Address - Street 1:187 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1539
Practice Address - Country:US
Practice Address - Phone:828-748-5765
Practice Address - Fax:888-286-7470
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102659Medicaid