Provider Demographics
NPI:1639784390
Name:PANDEY, KAREN COLLENE (LCMHCA, LCAS CSI)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:COLLENE
Last Name:PANDEY
Suffix:
Gender:F
Credentials:LCMHCA, LCAS CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 AZALEA VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540
Mailing Address - Country:US
Mailing Address - Phone:239-216-2550
Mailing Address - Fax:919-683-1790
Practice Address - Street 1:380 RALEIGH ST.
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540
Practice Address - Country:US
Practice Address - Phone:919-432-7832
Practice Address - Fax:919-683-1790
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17723101YM0800X
NC26166101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)