Provider Demographics
NPI:1477363224
Name:TOVMASSIAN, KARINE MACRI (NBC-HWC)
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:MACRI
Last Name:TOVMASSIAN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:KARINE-ISABELLA
Other - Middle Name:
Other - Last Name:MACRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KARINE-ISABELLA MACR
Mailing Address - Street 1:2671 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6350
Mailing Address - Country:US
Mailing Address - Phone:702-250-7557
Mailing Address - Fax:
Practice Address - Street 1:2671 BROAD ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6350
Practice Address - Country:US
Practice Address - Phone:702-250-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-4043325171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach