Provider Demographics
NPI:1144628942
Name:TINSLEY, KAREN A (MA, LPC, CTMH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:TINSLEY
Suffix:
Gender:F
Credentials:MA, LPC, CTMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 RIVER RD STE B
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-9560
Mailing Address - Country:US
Mailing Address - Phone:740-507-6707
Mailing Address - Fax:740-920-4244
Practice Address - Street 1:905 RIVER RD STE B
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-9560
Practice Address - Country:US
Practice Address - Phone:740-507-6707
Practice Address - Fax:740-920-4244
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0602172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional