Provider Demographics
NPI:1104051093
Name:TREAR-RAINS, COURTNEY LEIGH (LMSW, LAC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LEIGH
Last Name:TREAR-RAINS
Suffix:
Gender:F
Credentials:LMSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12351 W 96TH TER
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4409
Mailing Address - Country:US
Mailing Address - Phone:913-894-0900
Mailing Address - Fax:913-894-0908
Practice Address - Street 1:12351 W 96TH TER
Practice Address - Street 2:SUITE 300
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4409
Practice Address - Country:US
Practice Address - Phone:913-894-0900
Practice Address - Fax:913-894-0908
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7225104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker