Healthcare Provider Details

I. General information

NPI: 1457176984
Provider Name (Legal Business Name): KAREN BLACKBURN MS, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4268 CAHABA HEIGHTS CT STE 117
VESTAVIA AL
35243-5741
US

IV. Provider business mailing address

108 STERLING OAKS DR
HOOVER AL
35244-2070
US

V. Phone/Fax

Practice location:
  • Phone: 205-201-0277
  • Fax:
Mailing address:
  • Phone: 504-273-9088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05444
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: