=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013307040
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN CRANE QUICK LPCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2015
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 209 OLD HARRODS CREEK RD STE 400 INCLUSION MENTAL HEALTH
-----------------------------------------------------
City | LOUISVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40223-2553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-518-6007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 385 S MAIN ST STE 212
-----------------------------------------------------
City | VERSAILLES
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40383-1475
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-401-0178
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 103375
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------