Provider Demographics
NPI:1518602606
Name:HORNE, CORBIN BAILEY (MSC)
Entity Type:Individual
Prefix:MRS
First Name:CORBIN
Middle Name:BAILEY
Last Name:HORNE
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 KENDALL CT
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:GA
Mailing Address - Zip Code:31069-4883
Mailing Address - Country:US
Mailing Address - Phone:478-733-6093
Mailing Address - Fax:
Practice Address - Street 1:404 CORDER RD STE 100
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-7196
Practice Address - Country:US
Practice Address - Phone:478-322-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health