Provider Demographics
NPI:1932964376
Name:GERMROTH, KARAH ASHLEY (LMSW)
Entity type:Individual
Prefix:
First Name:KARAH
Middle Name:ASHLEY
Last Name:GERMROTH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1974 COOKS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-5117
Mailing Address - Country:US
Mailing Address - Phone:423-384-3324
Mailing Address - Fax:
Practice Address - Street 1:1974 COOKS VALLEY RD
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-5117
Practice Address - Country:US
Practice Address - Phone:423-384-3324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072814-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health