Provider Demographics
NPI:1982712253
Name:HYORTH, KAREN J (LCSW, BACS, LLC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:J
Last Name:HYORTH
Suffix:
Gender:F
Credentials:LCSW, BACS, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 BLUEBONNET BLVD
Mailing Address - Street 2:#1104 S
Mailing Address - City:BATAN ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810
Mailing Address - Country:US
Mailing Address - Phone:985-974-2881
Mailing Address - Fax:
Practice Address - Street 1:7410 BLUEBONNET BLVD
Practice Address - Street 2:#11045 S
Practice Address - City:BATAN ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810
Practice Address - Country:US
Practice Address - Phone:985-974-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA75791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA753209530OtherBEST CARE