Provider Demographics
NPI:1336423342
Name:TINDELL, KAREN ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:TINDELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ELIZABETH
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 PATRIOT PL
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-7336
Mailing Address - Country:US
Mailing Address - Phone:334-618-1625
Mailing Address - Fax:
Practice Address - Street 1:224 HONEYSUCKLE RD STE 5
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-1219
Practice Address - Country:US
Practice Address - Phone:334-618-1298
Practice Address - Fax:334-460-1533
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional