Provider Demographics
NPI:1689798100
Name:SANDERS, KAREY L (MA)
Entity Type:Individual
Prefix:
First Name:KAREY
Middle Name:L
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 1155
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077
Mailing Address - Country:US
Mailing Address - Phone:615-822-1222
Mailing Address - Fax:615-822-8306
Practice Address - Street 1:3023 HIGHWAY 31W
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188
Practice Address - Country:US
Practice Address - Phone:615-210-2553
Practice Address - Fax:615-822-8306
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC-2156101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional