Provider Demographics
NPI:1407330921
Name:COLLINS, KAREN B (LPCA, LCAS-A, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:B
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LPCA, LCAS-A, NCC
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:RENEE
Other - Last Name:BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1143 MONTREAT RD STE D
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-3231
Mailing Address - Country:US
Mailing Address - Phone:828-419-0613
Mailing Address - Fax:
Practice Address - Street 1:1143 MONTREAT RD STE D
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-3231
Practice Address - Country:US
Practice Address - Phone:828-419-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-24255101YA0400X
NC101YM0800X
NCA13051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health