Childres, Karen

Childres, Karen is an individual health care provider with primary practice located at 13101 Bruce B Downs Blvd , Tampa FL 33612-3803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Childres, Karen can be contacted via phone (813) 974-0601.

Contact Information

Primary practice address
13101 Bruce B Downs Blvd Tampa FL 33612-3803
Phone: (813) 974-0601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1710027230
LBN Legal business name Childres, Karen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Oct 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710027230 NPPES
Florida MEDICAID 763350500

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