Provider Demographics
NPI:1427741321
Name:COMBS COUNSELING & COACHING
Entity type:Organization
Organization Name:COMBS COUNSELING & COACHING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:859-803-4121
Mailing Address - Street 1:103 SEABISCUIT CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-4423
Mailing Address - Country:US
Mailing Address - Phone:859-803-4121
Mailing Address - Fax:
Practice Address - Street 1:1100 RING RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5926
Practice Address - Country:US
Practice Address - Phone:859-803-4121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)