Organization
ETHERIA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL CORBIN LPC (OWNER)
(843) 868-6200
Entity
Organization
Contact information
Practice address
1551 21ST AVE N STE 17, MYRTLE BEACH, SC 29577-7496
(843) 868-6200
(843) 868-6200
Mailing address
1551 21ST AVE N STE 17, MYRTLE BEACH, SC 29577-7496
(843) 868-6200
(843) 868-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/20/2021
Last updated
08/19/2024
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