Provider Demographics
NPI:1336970573
Name:LINS, COURTNEY (MS, LMFT-IT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:LINS
Suffix:
Gender:F
Credentials:MS, LMFT-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 301
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:WI
Mailing Address - Zip Code:53901-0301
Mailing Address - Country:US
Mailing Address - Phone:608-356-9055
Mailing Address - Fax:608-268-9780
Practice Address - Street 1:710 N WEBB AVE STE 400
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1150
Practice Address - Country:US
Practice Address - Phone:608-524-5151
Practice Address - Fax:608-268-9780
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1121-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist