Provider Demographics
NPI:1710787056
Name:HESTER, KAREN NICHOLE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:NICHOLE
Last Name:HESTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BARRINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-4771
Mailing Address - Country:US
Mailing Address - Phone:678-852-1275
Mailing Address - Fax:
Practice Address - Street 1:105 BARRINGTON PKWY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4771
Practice Address - Country:US
Practice Address - Phone:678-852-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0074231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical