Provider Demographics
NPI:1306676283
Name:GIDDINGS, KAREN CHRISTINA
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:CHRISTINA
Last Name:GIDDINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 TILDEN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8417
Mailing Address - Country:US
Mailing Address - Phone:214-223-0004
Mailing Address - Fax:
Practice Address - Street 1:2305 OAK LN STE 103
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-8243
Practice Address - Country:US
Practice Address - Phone:469-626-8195
Practice Address - Fax:469-857-8492
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor