Provider Demographics
NPI:1134951940
Name:KAREN AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:KAREN AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ RC
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:667-392-6162
Mailing Address - Street 1:58 TORLINA CT
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5135
Mailing Address - Country:US
Mailing Address - Phone:667-392-6162
Mailing Address - Fax:
Practice Address - Street 1:750 MAIN ST STE 302 A
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-2517
Practice Address - Country:US
Practice Address - Phone:667-392-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)