Provider Demographics
NPI:1154561280
Name:WARREN, KAREN RENEE (LMHC, CAP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:RENEE
Last Name:WARREN
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 SW MELODY DR
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-4257
Mailing Address - Country:US
Mailing Address - Phone:863-244-1701
Mailing Address - Fax:
Practice Address - Street 1:1246 SE OHIO AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-7650
Practice Address - Country:US
Practice Address - Phone:863-244-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 6152101YM0800X
FLMH10926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health