Provider Demographics
NPI:1639570096
Name:COMBS, SHEILA MARIE
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:COMBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 CHATHAM DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-2629
Mailing Address - Country:US
Mailing Address - Phone:504-821-8000
Mailing Address - Fax:504-264-5485
Practice Address - Street 1:2222 TULANE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7510
Practice Address - Country:US
Practice Address - Phone:504-821-8000
Practice Address - Fax:504-264-5485
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator