Provider Demographics
NPI:1689338451
Name:KARAFA, AUTUMN MARGARET
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:MARGARET
Last Name:KARAFA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15081 DEREMO AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-9131
Mailing Address - Country:US
Mailing Address - Phone:616-843-5073
Mailing Address - Fax:
Practice Address - Street 1:550 STEPHENSON HWY STE 200
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1132
Practice Address - Country:US
Practice Address - Phone:248-585-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851115578101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)