| Doctor Name: | MRS. KAREN L MEMHARDT |
| NPI Number: | 1043550965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAED PLPC |
| License Number: | 2010041725 |
| Business Practice Address: | 930 Kehrs Mill Rd Suite 325-1 Ballwin, MO - 630112462 |
| Business Phone Number: | 3146145079 |
| Business Fax Number: | |
| Mailing Address: | 530 Beacon Point Ln, WILDWOOD |
| State: | MO |
| Postal Code: | 630401810 |
| Phone Number: | 3146145079 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2013 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2010041725 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |