Provider Demographics
NPI:1780309062
Name:MALONE, KAREEN ROR (PHD LPC)
Entity type:Individual
Prefix:DR
First Name:KAREEN
Middle Name:ROR
Last Name:MALONE
Suffix:
Gender:F
Credentials:PHD LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 CONNEMARA RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4839
Mailing Address - Country:US
Mailing Address - Phone:404-216-1231
Mailing Address - Fax:
Practice Address - Street 1:3115 PIEDMONT RD NE STE D
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2529
Practice Address - Country:US
Practice Address - Phone:404-216-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008254101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional