Provider Demographics
NPI:1508916479
Name:LEVY, KAREN S (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:S
Last Name:LEVY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 FARRELL DRIVE
Mailing Address - Street 2:P.O. BOX 2680
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41012-2680
Mailing Address - Country:US
Mailing Address - Phone:859-578-3228
Mailing Address - Fax:859-578-3270
Practice Address - Street 1:308 BARNES RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:KY
Practice Address - Zip Code:41097-9483
Practice Address - Country:US
Practice Address - Phone:859-824-4442
Practice Address - Fax:859-824-4448
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY283101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30615058Medicaid
KY30615058Medicaid