Healthcare Provider Details

I. General information

NPI: 1396532933
Provider Name (Legal Business Name): KAREN SHEEHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MYRTLE AVE
EUREKA CA
95501-1219
US

IV. Provider business mailing address

901 MYRTLE AVE
EUREKA CA
95501-1219
US

V. Phone/Fax

Practice location:
  • Phone: 707-498-6576
  • Fax: 707-445-7143
Mailing address:
  • Phone: 707-498-6576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: