Provider Demographics
NPI:1851531180
Name:BOZEMAN, KAREN R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:R
Last Name:BOZEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 MALVERN AVE
Mailing Address - Street 2:SUITE 270 RIX PROFESSIONAL BUILDING
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-6327
Mailing Address - Country:US
Mailing Address - Phone:501-623-8989
Mailing Address - Fax:
Practice Address - Street 1:1401 MALVERN AVE
Practice Address - Street 2:SUITE 270 RIX PROFESSIONAL BUILDING
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6327
Practice Address - Country:US
Practice Address - Phone:501-623-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-1388101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional