Healthcare Provider Details

I. General information

NPI: 1023269180
Provider Name (Legal Business Name): SHERYL LYNNE CORBIT ED.D., ATR-BC., LPC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2008
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD STE 1C-160
HOUSTON TX
77030-4211
US

IV. Provider business mailing address

7722 BRAESVIEW LN
HOUSTON TX
77071-1410
US

V. Phone/Fax

Practice location:
  • Phone: 713-818-5718
  • Fax:
Mailing address:
  • Phone: 713-818-5718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11579
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number0459
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number11579
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number92-128
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: