Provider Demographics
NPI:1154565885
Name:FLEMMING, KAREN LOUISE (LMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LOUISE
Last Name:FLEMMING
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 1:1019 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2535
Mailing Address - Country:US
Mailing Address - Phone:315-982-2030
Mailing Address - Fax:315-293-2589
Practice Address - Street 1:1019 WESTBROOK DR
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2535
Practice Address - Country:US
Practice Address - Phone:315-982-2030
Practice Address - Fax:315-293-2589
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health