Provider Demographics
NPI:1174706022
Name:SACKS, KAREN D (MS LCPC LHMC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:SACKS
Suffix:
Gender:F
Credentials:MS LCPC LHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 205A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3456
Mailing Address - Country:US
Mailing Address - Phone:561-544-8889
Mailing Address - Fax:561-544-8860
Practice Address - Street 1:7301 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 205A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3456
Practice Address - Country:US
Practice Address - Phone:561-544-8889
Practice Address - Fax:561-544-8860
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8595101Y00000X
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor