Provider Demographics
NPI:1952371304
Name:KNIGHT, KAREN (LMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 S BUCKNER ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-2219
Mailing Address - Country:US
Mailing Address - Phone:812-361-3601
Mailing Address - Fax:
Practice Address - Street 1:115 N COLLEGE AVE STE 214
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-3933
Practice Address - Country:US
Practice Address - Phone:812-361-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001452A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health