Provider Demographics
NPI:1043426802
Name:RICHARDSON, KAREN MANLEY (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MANLEY
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 OLD BARDSTOWN RD STE B
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-4435
Mailing Address - Country:US
Mailing Address - Phone:502-618-2823
Mailing Address - Fax:
Practice Address - Street 1:6600 UNIVERSITY PKWY STE 304
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-9048
Practice Address - Country:US
Practice Address - Phone:833-769-3524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY105761106H00000X
FLMT4902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist