Provider Demographics
NPI:1932679826
Name:CORBETT, CARRIE ANN (LPCC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:CORBETT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 DOVE RUN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3678
Mailing Address - Country:US
Mailing Address - Phone:859-554-6028
Mailing Address - Fax:859-201-0012
Practice Address - Street 1:1081 DOVE RUN RD STE 201
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-3678
Practice Address - Country:US
Practice Address - Phone:859-554-6028
Practice Address - Fax:859-201-0012
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1790731081Medicaid