Provider Demographics
NPI:1194550574
Name:DEMPSEY, COURTNEY (ALC)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:AL
Mailing Address - Zip Code:35143-5783
Mailing Address - Country:US
Mailing Address - Phone:205-296-8346
Mailing Address - Fax:
Practice Address - Street 1:272 WELLNESS CENTER DR
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2377
Practice Address - Country:US
Practice Address - Phone:205-280-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional