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NPI Code Detail

MEDICARE: MS. KAREN ANN PENROD LPC

MEDICARE: MS. KAREN ANN PENROD 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 Counselor13667TX

General Provider Information

NPI Number : 1619003639
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN ANN PENROD LPC
Provider Business Mailing Address
First Line : 1300 S UNIVERSITY DR STE 306
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5746
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Provider Business Practice Location Address
First Line : 1300 S UNIVERSITY DR STE 306
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5746
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 03/29/2023

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