Provider Demographics
NPI:1790984573
Name:PETERS, KAREN ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:PETERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:ASTRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 621291
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32762-1291
Mailing Address - Country:US
Mailing Address - Phone:407-968-7912
Mailing Address - Fax:321-244-0901
Practice Address - Street 1:1008 W RIVIERA BLVD
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5633
Practice Address - Country:US
Practice Address - Phone:407-968-7912
Practice Address - Fax:321-244-0901
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health