Provider Demographics
NPI:1023655271
Name:FLOREN, KATHARINE DESMARAIS (LMFT)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:DESMARAIS
Last Name:FLOREN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 OLD SWEDE RD STE B2
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-1208
Mailing Address - Country:US
Mailing Address - Phone:860-944-1271
Mailing Address - Fax:
Practice Address - Street 1:515 OLD SWEDE RD STE B2
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-1208
Practice Address - Country:US
Practice Address - Phone:860-944-1271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC14559824OtherTRICARE