Ms Tara Lynn Corbett, MS LPC | |
444b Broad St, Sumter, SC 29150-4157 | |
(803) 883-4981 | |
(803) 883-5492 |
Full Name | Ms Tara Lynn Corbett |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 444b Broad St, Sumter, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306219316 | NPI | - | NPPES |
PC1694 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6425 (South Carolina) | Primary |
101YM0800X | Counselor - Mental Health | 6425 (South Carolina) | Secondary |
Entity Name | A New Tomorrow |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437501806 PECOS PAC ID: 3173960010 Enrollment ID: O20240327001122 |
Mailing Address | Practice Location Address |
---|---|
Ms Tara Lynn Corbett, MS LPC 444b Broad St, Sumter, SC 29150-4157 Ph: (803) 883-4981 | Ms Tara Lynn Corbett, MS LPC 444b Broad St, Sumter, SC 29150-4157 Ph: (803) 883-4981 |
Karan Godette, M.ED., M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Sumter, SC 29150 Phone: 803-775-5080 | |
Cynthia M Fazekas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Sumter, SC 29150 Phone: 803-775-5080 Fax: 803-773-6256 | |
Mrs. Ashley Moise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 N Guignard Dr, Sumter, SC 29150 Phone: 803-775-9364 | |
Ms. Jeemy D. Grate-pearson, Counselor Medicare: Not Enrolled in Medicare Practice Location: Swcmhc/act, 764 West Liberty St., 2 Medical Ct., Sumter, SC 29151 Phone: 803-778-4195 Fax: 803-778-6598 | |
Ms. Ponya J. Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N Magnolia St, Sumter, SC 29150 Phone: 803-775-9364 Fax: 803-773-6615 | |
Ms. Lucie M. Moise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1278 N Lafayette Dr, Sumter, SC 29150 Phone: 803-774-4500 Fax: 803-774-4641 | |
Donte Terrell Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 N Pike West, Sumter, SC 29153 Phone: 843-331-4087 |