Provider Demographics
NPI:1225563992
Name:OPARA, KIARA (LCPC, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:KIARA
Middle Name:
Last Name:OPARA
Suffix:
Gender:F
Credentials:LCPC, LPC, NCC
Other - Prefix:
Other - First Name:KIARA
Other - Middle Name:
Other - Last Name:HARTWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, LPC, NCC
Mailing Address - Street 1:PO BOX 6632
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0632
Mailing Address - Country:US
Mailing Address - Phone:443-574-4155
Mailing Address - Fax:
Practice Address - Street 1:516 N ROLLING RD STE 305
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4142
Practice Address - Country:US
Practice Address - Phone:443-574-4155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC7753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD926183Medicaid