Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Davis Corbin, LPC, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699027961

Angel Davis Corbin, LPC, LCAS is a Mental Health Counselor in Myrtle Beach, South Carolina. Qualified in 2018, 8 years ago. Practices with Etheria Counseling LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2012
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1551 21st Ave N Ste 17
Myrtle Beach, SC 29577-7496
Phone: (843) 868-6200
Fax: (843) 868-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 9733 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3242 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 9733 (NC)

Record details

NPI number1699027961
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LCAS
Sole proprietorYes
NPI enumeratedOctober 10, 2012
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Etheria Counseling Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Myrtle Beach