Healthcare Provider Details

I. General information

NPI: 1710176540
Provider Name (Legal Business Name): KAREN DIANE REED LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 02/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 OLD SYMSONIA ROAD, SUITE 107
BENTON KY
42025
US

IV. Provider business mailing address

P.O. BOX 744 SOLUTION FOCUSED COUNSELING & MEDIATION
BENTON KY
42025
US

V. Phone/Fax

Practice location:
  • Phone: 270-527-1990
  • Fax: 270-527-1990
Mailing address:
  • Phone: 270-527-1990
  • Fax: 270-527-1990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0522
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0522
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: