Demonique Corbett, LCAS, CFE

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20362 Issued in NC

Practice address

720 N 3Rd St Ste 401
Wilmington, NC 28401-3474

Phone

(910) 769-9126

Fax

(910) 769-9169

NPI assigned

Apr 20, 2024

Last updated

Apr 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Ties of Brunswick, LLC

  dba Family Ties Mental Health and Substance Abuse Counseling Services

  • Professional Counselor
  • Wilmington, NC
  • NPI 1831682665
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1982459251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 3RD ST STE 401",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013474",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N 3RD ST STE 401",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013474",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5320 Bridgers Rd Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704737",
            "country_code": "US",
            "telephone_number": "910-754-4097",
            "fax_number": "910-769-9169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "DEMONIQUE",
        "credential": "LCAS, CFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Cooper IV, M.D.
• Raven Coots, MSW, LCSW-A
• Ashley Danielle Copeland
• Tsahia Jasmine Copeland, MS, SLP
• Cora North Carolina, LLC (CORA Physical Therapy - Wilmington)
• Lindsey Corbett, DNP, FNP
• Rene Royal Corbett, RN, MSN, APRN-BC, NP
• Teablee Angell Corbett, FNP-C
• Cheryl Corbin, LCSW
• Morgan Melaine Corbin, PHARMD, BCOP

• Addiction (Substance Use Disorder) Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.