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General NPI Number Information
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NPI Number | 1720117633
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Entity Type | Individual
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Provider Name | KAREN ELEANOR SHEETS-MOBLEY LCSW, LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 03/09/2024
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Provider Practice Location Address
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Address Line | 4229 BARDSTOWN RD STE 204
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City | LOUISVILLE
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State | KY
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Zip | 40218-4271
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Country | US
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Telephone | 502-373-6604
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Fax | 502-237-6617
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Provider Business Mailing Address
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Address Line | 3044 BARDSTOWN RD # 235
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City | LOUISVILLE
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State | KY
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Zip | 40205-3020
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Country | US
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Telephone | 502-640-9508
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3707
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0813
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License Number State | KY
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