Provider Demographics
NPI:1699893131
Name:HENSON, KAREN LYNN (MA, LPA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:HENSON
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPA
Mailing Address - Street 1:4360 COUNTY HOME ROAD
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613
Mailing Address - Country:US
Mailing Address - Phone:828-465-7668
Mailing Address - Fax:828-256-7711
Practice Address - Street 1:4360 COUNTY HOME ROAD
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613
Practice Address - Country:US
Practice Address - Phone:828-465-7668
Practice Address - Fax:828-256-7711
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPA 1828103TC0700X
NC1828103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107338Medicaid