Provider Demographics
NPI:1720117633
Name:SHEETS-MOBLEY, KAREN ELEANOR (LCSW, LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELEANOR
Last Name:SHEETS-MOBLEY
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:SHEETS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3044 BARDSTOWN RD # 235
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3020
Mailing Address - Country:US
Mailing Address - Phone:502-640-9508
Mailing Address - Fax:
Practice Address - Street 1:4229 BARDSTOWN RD STE 204
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4271
Practice Address - Country:US
Practice Address - Phone:502-373-6604
Practice Address - Fax:502-237-6617
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37071041C0700X
KY0813106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical