Provider Demographics
NPI:1407223829
Name:HARTFIELD, KAREN (MA, RMHCI)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:HARTFIELD
Suffix:
Gender:F
Credentials:MA, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5968 HILLSIDE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33812-4322
Mailing Address - Country:US
Mailing Address - Phone:863-412-7046
Mailing Address - Fax:
Practice Address - Street 1:631 MIDFLORIDA DR
Practice Address - Street 2:PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, PA
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-4902
Practice Address - Country:US
Practice Address - Phone:863-701-9202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 13170101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health