Provider Demographics
NPI:1760835490
Name:CARNEY, KATHERINE L (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:CARNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 S KATLYN DR
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-4097
Mailing Address - Country:US
Mailing Address - Phone:580-789-0220
Mailing Address - Fax:479-373-2406
Practice Address - Street 1:920 S CARL ST STE 3&4
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-4108
Practice Address - Country:US
Practice Address - Phone:479-373-2377
Practice Address - Fax:479-373-2406
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2210000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health