Provider Demographics
NPI:1851854673
Name:HILDRETH, KAREN LYNN (LMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:HILDRETH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:HILDRETH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:2937 BEE RIDGE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-7119
Mailing Address - Country:US
Mailing Address - Phone:941-302-0603
Mailing Address - Fax:
Practice Address - Street 1:2937 BEE RIDGE RD STE 7
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-7119
Practice Address - Country:US
Practice Address - Phone:941-302-0603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10973101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty