Provider Demographics
NPI:1861027302
Name:CASEY, KAREN (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CASEY
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 LINDSAY ST STE 230
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-3461
Mailing Address - Country:US
Mailing Address - Phone:423-402-0128
Mailing Address - Fax:
Practice Address - Street 1:620 LINDSAY ST STE 230
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3461
Practice Address - Country:US
Practice Address - Phone:423-402-0128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional