Healthcare Provider Details

I. General information

NPI: 1295644987
Provider Name (Legal Business Name): KAREN MAE COMBE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 WHISPERWOOD BLVD STE C
SLIDELL LA
70458-1136
US

IV. Provider business mailing address

447 NAPLES CT
SLIDELL LA
70458-7314
US

V. Phone/Fax

Practice location:
  • Phone: 985-260-1914
  • Fax:
Mailing address:
  • Phone: 281-685-1051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPLC9973
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: