Provider Demographics
NPI:1598936759
Name:MANNIX, KAREN JONES (LPC LADC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JONES
Last Name:MANNIX
Suffix:
Gender:F
Credentials:LPC LADC
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:BENTLEY
Other - Last Name:MANNIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC LADC
Mailing Address - Street 1:1700 WEST BRITTON ROAD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120
Mailing Address - Country:US
Mailing Address - Phone:405-848-9393
Mailing Address - Fax:405-848-9310
Practice Address - Street 1:1700 WEST BRITTON ROAD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-848-9393
Practice Address - Fax:405-848-9310
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83101YA0400X
OK2031101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional