Provider Demographics
NPI:1316181647
Name:HARMON-BERRY, KAREN CHRISTINE (LISW-S)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:CHRISTINE
Last Name:HARMON-BERRY
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:FREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-1744
Mailing Address - Country:US
Mailing Address - Phone:937-336-2271
Mailing Address - Fax:937-456-2805
Practice Address - Street 1:114 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-1744
Practice Address - Country:US
Practice Address - Phone:937-336-2271
Practice Address - Fax:937-456-2805
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0026098104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker