Provider Demographics
NPI:1063228500
Name:KOS, COURTNEY (LMFT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:KOS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5945 W PARKER RD APT 3015
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7766
Mailing Address - Country:US
Mailing Address - Phone:972-838-6506
Mailing Address - Fax:
Practice Address - Street 1:5945 W PARKER RD APT 3015
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7766
Practice Address - Country:US
Practice Address - Phone:972-838-6506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0002660106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty