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NPI Code Detail

MEDICARE: CORISSA DEBETTIGNIES LMSW

MEDICARE: CORISSA DEBETTIGNIES LMSW
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
1104100000XSocial Worker108178TX

General Provider Information

NPI Number : 1841924909
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORISSA DEBETTIGNIES LMSW
Provider Business Mailing Address
First Line : 401 BRANARD ST FL 2
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5015
Country : US
Telephone Number : 713-529-0037
Fax Number :
Provider Business Practice Location Address
First Line : 401 BRANARD ST FL 2
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5015
Country : US
Telephone Number : 713-529-0037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2022
Last Update Date : 02/09/2026

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Directions to “ CORISSA DEBETTIGNIES LMSW” Practice Location

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