Provider Demographics
NPI:1144876079
Name:RAWLINGS, KAREN (MFTA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:MFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 MAE STREET KIDD AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40211-4318
Mailing Address - Country:US
Mailing Address - Phone:502-553-2596
Mailing Address - Fax:
Practice Address - Street 1:600 E OAK ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-3463
Practice Address - Country:US
Practice Address - Phone:502-627-0313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY246940106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist