Healthcare Provider Details

I. General information

NPI: 1669877197
Provider Name (Legal Business Name): KAREN CONKLIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 S ELMER AVE STE 105
SAYRE PA
18840-2400
US

IV. Provider business mailing address

703 S ELMER AVE STE 105
SAYRE PA
18840-2400
US

V. Phone/Fax

Practice location:
  • Phone: 570-570-8909
  • Fax:
Mailing address:
  • Phone: 570-890-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014851
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: