MEDICARE: ANGEL DAVIS CORBIN LPC, LCAS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	3242	NC
2	101YP2500X	Professional Counselor	9733	NC
3	101YM0800X	Mental Health Counselor	9733	NC

General Provider Information

NPI Number	:	1699027961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL DAVIS CORBIN LPC, LCAS

Provider Business Mailing Address
First Line	:	1551 21ST AVE N STE 17
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-7496
Country	:	US
Telephone Number	:	843-868-6200
Fax Number	:	843-868-6200

Provider Business Practice Location Address
First Line	:	1551 21ST AVE N STE 17
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-7496
Country	:	US
Telephone Number	:	843-868-6200
Fax Number	:	843-868-6200

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

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	08/23/2024

Similar Medicare Providers

1750820973 — MELISSA MARIE JOHANSEN LISW-CP, LCSW-C, MSW
Practice Location Address:

1551 21ST AVE N STE 17
MYRTLE BEACH, SC
29577-7496

Practice Phone: 843-868-6200
Practice Fax: 843-868-6200

1609546613 — ETHERIA COUNSELING LLC
Practice Location Address:

1551 21ST AVE N STE 17
MYRTLE BEACH, SC
29577-7496

Practice Phone: 843-868-6200
Practice Fax: 843-868-6200

1235085440 — AUDIOLOGY SERVICES COMPANY USA, LLC
Practice Location Address:

5913 N KINGS HWY
MYRTLE BEACH, SC
29577-2329

Practice Phone: 843-497-6156
Practice Fax:

1679429609 — MS. LATONA LARRAINE STAGGERS
Practice Location Address:

1229 38TH AVE N STE 391
MYRTLE BEACH, SC
29577-1313

Practice Phone: 855-832-6727
Practice Fax:

1407703432 — DR. GREER EDDINS PT,DPT
Practice Location Address:

3620 WALTON DR UNIT C5
MYRTLE BEACH, SC
29577-6782

Practice Phone: 843-353-3460
Practice Fax:

1467309187 — MR. WILLIAM E BARNES FNP-C
Practice Location Address:

2837 HOWARD AVE UNIT B
MYRTLE BEACH, SC
29577-2593

Practice Phone: 631-848-3386
Practice Fax:

Directions to “ ANGEL DAVIS CORBIN LPC, LCAS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.