Provider Demographics
NPI:1386285070
Name:MCCOMBS, KORIAND'R (LPC)
Entity type:Individual
Prefix:MRS
First Name:KORIAND'R
Middle Name:
Last Name:MCCOMBS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KORIAND'R
Other - Middle Name:
Other - Last Name:COMEGYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2148 TROUTDALE DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-6044
Mailing Address - Country:US
Mailing Address - Phone:404-680-7818
Mailing Address - Fax:
Practice Address - Street 1:2148 TROUTDALE DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-6044
Practice Address - Country:US
Practice Address - Phone:404-680-7818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010981101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional