Provider Demographics
NPI:1316033756
Name:HALES, KAREN SUZANNE
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUZANNE
Last Name:HALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:SUZANNE
Other - Last Name:HALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC,LMFT
Mailing Address - Street 1:2750 W. VIRGINIA PARKWAY STE 108
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:972-542-8144
Mailing Address - Fax:972-548-9891
Practice Address - Street 1:2750 W. VIRGINIA PKWY STE 108
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:972-542-8144
Practice Address - Fax:972-548-9891
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002717041812106H00000X
TX9590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist