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NPI Code Detail

MEDICARE: KAREN S HEBERT LMFT, LPC

MEDICARE: KAREN S HEBERT LMFT, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC008590GA
2101Y00000XCounselorMFT001375GA

General Provider Information

NPI Number : 1053778977
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN S HEBERT LMFT, LPC
Provider Business Mailing Address
First Line : 25 LENOX POINTE NE STE B
Second Line :
City : ATLANTA
State : GA
Zip : 30324-7420
Country : US
Telephone Number : 404-735-2125
Fax Number :
Provider Business Practice Location Address
First Line : 25 LENOX POINTE NE STE B
Second Line :
City : ATLANTA
State : GA
Zip : 30324-7420
Country : US
Telephone Number : 404-735-2125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2016
Last Update Date : 05/23/2022

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