Provider Demographics
NPI:1912256330
Name:MILLER, KAREN SHEA (LPC/LMHC/RPT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SHEA
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC/LMHC/RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1732
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-1732
Mailing Address - Country:US
Mailing Address - Phone:251-517-7737
Mailing Address - Fax:251-517-7720
Practice Address - Street 1:101 LOTTIE LN STE 3
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-7309
Practice Address - Country:US
Practice Address - Phone:251-517-7737
Practice Address - Fax:251-517-7720
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10822101YM0800X
AL3221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL3221OtherLICENSED PROFESSIONAL COUNSELOR
FL10822OtherLICENSED MENTAL HEALTH COUNSELOR