Provider Demographics
NPI:1447621529
Name:KIRZ, KARA (LCSW)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:KIRZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 COTTAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2564
Mailing Address - Country:US
Mailing Address - Phone:478-246-9335
Mailing Address - Fax:478-246-9335
Practice Address - Street 1:105 COTTAGE LOOP
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2564
Practice Address - Country:US
Practice Address - Phone:478-246-9335
Practice Address - Fax:478-246-9335
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health