Provider Demographics
NPI:1003685496
Name:KAREN THRUSH LMFT, LLC
Entity type:Organization
Organization Name:KAREN THRUSH LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:THRUSH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:717-658-9231
Mailing Address - Street 1:812 LONDONDERRY BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-3534
Mailing Address - Country:US
Mailing Address - Phone:717-658-9231
Mailing Address - Fax:570-915-5355
Practice Address - Street 1:513 W CHOCOLATE AVE STE 100
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1632
Practice Address - Country:US
Practice Address - Phone:717-473-0057
Practice Address - Fax:570-915-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty