Active NPI 1700425964 Individual Practitioner Female Practitioner

Tabria Corprew

Counselor - Professional • Pooler, GA

Professional Overview & Biography Verified Profile Summary

Tabria Corprew is a registered healthcare professional specializing in Counselor - Professional in Pooler, GA. Practice services are available at 101 BLUE MOON CROSSING STE. 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Blue Moon Crossing Ste. 3
Unit 114

Pooler, GA 31322

Telephone 9126821383

Associated Practice Facility / Clinic

🏢 Compassionate Counseling & Support Services, Llc Facility NPI 1760188155

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Pooler, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.0 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

25 Specialists

Practicing in Pooler, GA (6655 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-16

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC011310

Definition to come...

Secondary Practice Locations

5205 Addison Pl

Pooler, GA 313229482

Phone: 9126821383

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location June 16, 2021

Registered at 101 BLUE MOON CROSSING STE. 3, UNIT 114, POOLER, GA 31322 (Tel: 9126821383)

📍

Updated Business Mailing Address June 16, 2021

Registered at 101 BLUE MOON CROSSING, SUITE 3, UNIT 114, POOLER, GA 31322 (Tel: 9123259855)

👤

Provider Name / Credentials Updated June 16, 2021

Recorded as TABRIA CORPREW

✅

NPI Profile Active January 04, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2020

Registered at 5205 ADDISON PL, POOLER, GA 313229482 (Tel: 9126821383)

📍

Updated Business Mailing Address January 04, 2020

Registered at 5205 ADDISON PL, POOLER, GA 313229482 (Tel: 9126821383)

👤

Provider Name / Credentials Updated January 04, 2020

Recorded as TABRIA JACKSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2020

Counselor (License #LPC011310 in GA)

🟢

Initial NPI Registration & Enumeration January 04, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700425964

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2020

Last Update: June 16, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

101 Blue Moon Crossing, Suite 3, Unit 114

Pooler, GA 31322

Phone: 9123259855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.