Provider Demographics
NPI:1356492797
Name:OLURONBI, KAREN LEMON (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEMON
Last Name:OLURONBI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 N EDGEWORTH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2218
Mailing Address - Country:US
Mailing Address - Phone:336-665-9912
Mailing Address - Fax:
Practice Address - Street 1:232 N EDGEWORTH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2218
Practice Address - Country:US
Practice Address - Phone:336-665-9912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102800Medicaid