MEDICARE: DR. IRENE ELIZABETH CORBIT PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	02196	TX
2	106H00000X	Marriage & Family Therapist	01381	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2883LC	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1427152560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE ELIZABETH CORBIT PHD

Provider Business Mailing Address
First Line	:	7722 BRAESVIEW LANE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071
Country	:	US
Telephone Number	:	713-774-6569
Fax Number	:

Provider Business Practice Location Address
First Line	:	2439 SUNSET BOULEVARD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005
Country	:	US
Telephone Number	:	713-522-1768
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	09/11/2025

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