MEDICARE: KAREN AND ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1134951940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN AND ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	58 TORLINA CT
Second Line	:
City	:	GWYNN OAK
State	:	MD
Zip	:	21207-5135
Country	:	US
Telephone Number	:	667-392-6162
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 MAIN ST STE 302 A
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-2517
Country	:	US
Telephone Number	:	667-392-6162
Fax Number	:

Authorized Official
Title or Position	:	CEO/ RC
Name	:	TRAVIS LOUALLEN
Credential	:
Telephone Number	:	667-392-6162

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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