Healthcare Provider Details

I. General information

NPI: 1174445522
Provider Name (Legal Business Name): SOUL BLISS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 OKEEFE AVE APT 3S11
NEW ORLEANS LA
70113-1978
US

IV. Provider business mailing address

611 OKEEFE AVE APT 3S11
NEW ORLEANS LA
70113-1978
US

V. Phone/Fax

Practice location:
  • Phone: 504-912-3300
  • Fax:
Mailing address:
  • Phone: 504-912-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CARLENE KOBE
Title or Position: NP
Credential: APRN
Phone: 504-912-3300