Provider Demographics
NPI:1538670658
Name:BIENIEK, KAREN (LCMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BIENIEK
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:YURCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1616 EVANS RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9653
Mailing Address - Country:US
Mailing Address - Phone:984-206-1016
Mailing Address - Fax:
Practice Address - Street 1:1616 EVANS RD STE 202
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9653
Practice Address - Country:US
Practice Address - Phone:984-206-1016
Practice Address - Fax:984-206-2016
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-16
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13358101YP2500X, 101YP2500X, 101YP2500X
NC85536164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No164W00000XNursing Service ProvidersLicensed Practical Nurse