MEDICARE: KAREN DENEHY MS, LMHC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	103K00000X	Behavior Analyst
4	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1992108591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN DENEHY MS, LMHC

Provider Business Mailing Address
First Line	:	5030 ARAGON WAY S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33705-4628
Country	:	US
Telephone Number	:	727-873-9311
Fax Number	:

Provider Business Practice Location Address
First Line	:	5030 ARAGON WAY S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33705-4628
Country	:	US
Telephone Number	:	727-873-9311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2014
Last Update Date	:	09/27/2014

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