Provider Demographics
NPI:1154137743
Name:JAMES, COURTNEY E (MED, LPC-MHSP, RPT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:E
Last Name:JAMES
Suffix:
Gender:F
Credentials:MED, LPC-MHSP, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 FRISCO AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1235
Mailing Address - Country:US
Mailing Address - Phone:406-465-7761
Mailing Address - Fax:
Practice Address - Street 1:604 SPRING ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:TN
Practice Address - Zip Code:37036-4971
Practice Address - Country:US
Practice Address - Phone:615-789-3035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6911101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health