Provider Demographics
NPI:1356352488
Name:PERRY, KAREN K (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:K
Last Name:PERRY
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 KATY FWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1407
Mailing Address - Country:US
Mailing Address - Phone:713-973-2147
Mailing Address - Fax:713-468-2868
Practice Address - Street 1:9525 KATY FWY
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1407
Practice Address - Country:US
Practice Address - Phone:713-973-2147
Practice Address - Fax:713-468-2868
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5734101YP2500X
TX369106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4108103OtherAETNA
TX0257537-01Medicaid
TX760514412OtherTAX IDENTIFICATION NUMBER
TX83459LOtherBLUE CROSS BLUE SHIELD