Provider Demographics
NPI:1275145864
Name:EWING, KAREN LYNN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:EWING
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 WOODSTREAM LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-4334
Mailing Address - Country:US
Mailing Address - Phone:214-801-7461
Mailing Address - Fax:
Practice Address - Street 1:5200 MCDERMOTT RD STE 225
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7746
Practice Address - Country:US
Practice Address - Phone:972-806-0949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76930101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health