Provider Demographics
NPI:1619492501
Name:MASSEY, KAREN (LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MASSEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4234
Mailing Address - Country:US
Mailing Address - Phone:610-740-4429
Mailing Address - Fax:
Practice Address - Street 1:707 GITTINGS ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-6101
Practice Address - Country:US
Practice Address - Phone:757-514-3248
Practice Address - Fax:757-809-5387
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2024-11-08
Deactivation Date:2024-10-22
Deactivation Code:
Reactivation Date:2024-11-07
Provider Licenses
StateLicense IDTaxonomies
VA0701014126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional