Provider Demographics
NPI:1417240516
Name:DAVIS, KAREN JOYE (BHRS)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOYE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 W.GARRIOT
Mailing Address - Street 2:STE. F
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-3631
Mailing Address - Country:US
Mailing Address - Phone:580-242-4673
Mailing Address - Fax:
Practice Address - Street 1:1625 W.GARRIOT
Practice Address - Street 2:STE. F
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-3631
Practice Address - Country:US
Practice Address - Phone:580-242-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor