Provider Demographics
NPI:1154037166
Name:BOOKER, COURTNEY (JD, QMHS)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:
Last Name:BOOKER
Suffix:
Gender:F
Credentials:JD, QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8044 MONTGOMERY RD STE 700
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2926
Mailing Address - Country:US
Mailing Address - Phone:513-620-6012
Mailing Address - Fax:
Practice Address - Street 1:8044 MONTGOMERY RD STE 700
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2926
Practice Address - Country:US
Practice Address - Phone:513-620-6012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator