Provider Demographics
NPI:1003225095
Name:DR. KAREN UNGERP.A.
Entity type:Organization
Organization Name:DR. KAREN UNGERP.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:KIMBERLING
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:813-299-1933
Mailing Address - Street 1:1802 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-6726
Mailing Address - Country:US
Mailing Address - Phone:813-299-1933
Mailing Address - Fax:
Practice Address - Street 1:1802 MAIN ST
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-6726
Practice Address - Country:US
Practice Address - Phone:813-299-1933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6433101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty