Healthcare Provider Details

I. General information

NPI: 1063391712
Provider Name (Legal Business Name): KARI JEANLOUIS-HALIBURTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5295 HARRIET PL
WEST PALM BEACH FL
33407-1627
US

IV. Provider business mailing address

5295 HARRIET PL
WEST PALM BEACH FL
33407-1627
US

V. Phone/Fax

Practice location:
  • Phone: 561-385-8855
  • Fax:
Mailing address:
  • Phone: 561-385-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: