Provider Demographics
NPI:1740928464
Name:BARNES, KAREN STAROOK (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:STAROOK
Last Name:BARNES
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 BUFORD HWY NE
Mailing Address - Street 2:STE D1
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-3256
Mailing Address - Country:US
Mailing Address - Phone:770-927-7801
Mailing Address - Fax:
Practice Address - Street 1:1400 BUFORD HWY STE D1
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-8722
Practice Address - Country:US
Practice Address - Phone:770-927-7801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001875106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist