Mckinley, Karen L
Mckinley, Karen L is an individual health care provider with primary practice located at 3300 Academy Ave Academy Crossing Medical Plaza, Portsmouth VA 23703-3205. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mckinley, Karen L can be contacted via phone (757) 483-6404.Contact Information
Primary practice address
3300 Academy Ave Academy Crossing Medical Plaza
Portsmouth VA 23703-3205
Phone: (757) 483-6404
Fax: (757) 483-0737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0718000070 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000079 | Virginia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000902 | Virginia |
Profile Details
| NPI number | 1043205073 |
|---|---|
| LBN Legal business name | Mckinley, Karen L |
| Credentials | PSY D LCSW LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 1st, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043205073 | NPPES |
| Virginia | Other | 08072S | SENTARA |
| Virginia | MEDICAID | 8902976 | SENTARA |
| Virginia | Other | 090573 | SENTARA |
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