Provider Demographics
NPI:1902617376
Name:BAREIKA, KAROLIS
Entity type:Individual
Prefix:
First Name:KAROLIS
Middle Name:
Last Name:BAREIKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KARL
Other - Middle Name:
Other - Last Name:BAREIKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1533 BELLNAP DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:469-818-2527
Mailing Address - Fax:
Practice Address - Street 1:1533 BELLNAP DRIVE
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:469-818-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
TX96099101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health