Provider Demographics
NPI:1447391701
Name:SYLVESTER, KAREN D (LPC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:D
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:804 PECAN GROVE RD E
Mailing Address - Street 2:CHILD AND FAMILY GUIDANCE CENTER
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1767
Mailing Address - Country:US
Mailing Address - Phone:903-893-7768
Mailing Address - Fax:903-893-4979
Practice Address - Street 1:804 PECAN GROVE RD E
Practice Address - Street 2:CHILD AND FAMILY GUIDANCE CENTER
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1767
Practice Address - Country:US
Practice Address - Phone:903-893-7768
Practice Address - Fax:903-893-4979
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17384101YP2500X
TXDT02301133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147310004Medicaid
TX83343LOtherBLUE CROSS BLUE SHIELD
TX147310001Medicaid