Provider Demographics
NPI:1063959526
Name:GLENNY, COURTNEY (MS, LPC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:GLENNY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 E ARIZONA BILTMORE CIR STE B220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-2133
Mailing Address - Country:US
Mailing Address - Phone:602-456-2123
Mailing Address - Fax:
Practice Address - Street 1:2525 E ARIZONA BILTMORE CIR STE B220
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-2133
Practice Address - Country:US
Practice Address - Phone:602-456-2123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-17803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional