Provider Demographics
NPI:1659894491
Name:CORBIE, HEATHER MICHELLE (LPCC, LCPC, RPT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:CORBIE
Suffix:
Gender:F
Credentials:LPCC, LCPC, RPT
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:BARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1855 EL PORTAL DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-1782
Mailing Address - Country:US
Mailing Address - Phone:785-814-0104
Mailing Address - Fax:
Practice Address - Street 1:1855 EL PORTAL DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-1782
Practice Address - Country:US
Practice Address - Phone:785-814-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
KS3102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional