Provider Demographics
NPI:1972672251
Name:SPINKS, KAREN BEVERLY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BEVERLY
Last Name:SPINKS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 BEECHMONT ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609
Mailing Address - Country:US
Mailing Address - Phone:781-367-1034
Mailing Address - Fax:
Practice Address - Street 1:55 BEECHMONT ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609
Practice Address - Country:US
Practice Address - Phone:781-367-1034
Practice Address - Fax:508-880-6848
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health