Healthcare Provider Details

I. General information

NPI: 1578408068
Provider Name (Legal Business Name): CORLETTA L. BARBEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 THERMAL AVE
MIDLAND NC
28107-9393
US

IV. Provider business mailing address

13151 PLESS MILL RD
STANFIELD NC
28163-7580
US

V. Phone/Fax

Practice location:
  • Phone: 704-888-1616
  • Fax:
Mailing address:
  • Phone: 704-806-5104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22827
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: