Provider Demographics
NPI:1174284293
Name:CHAMBLESS, KAREN (MA, NCC, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CHAMBLESS
Suffix:
Gender:F
Credentials:MA, NCC, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 MARLIN RD STE 3800
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5651
Mailing Address - Country:US
Mailing Address - Phone:423-521-5678
Mailing Address - Fax:
Practice Address - Street 1:5721 MARLIN RD STE 3800
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5651
Practice Address - Country:US
Practice Address - Phone:423-521-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TN6044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health