Provider Demographics
NPI:1831530021
Name:PERKINS, CORRIE
Entity type:Individual
Prefix:MRS
First Name:CORRIE
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CORRIE
Other - Middle Name:
Other - Last Name:NEWCOME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 311178
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78131-1178
Mailing Address - Country:US
Mailing Address - Phone:760-420-3839
Mailing Address - Fax:
Practice Address - Street 1:1623 ANNA LEE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-1121
Practice Address - Country:US
Practice Address - Phone:760-420-3839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115638101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health