Provider Demographics
NPI:1972352953
Name:AUXIER, COURTNIE (LSW)
Entity type:Individual
Prefix:
First Name:COURTNIE
Middle Name:
Last Name:AUXIER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 S MERIDIAN ST STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-3310
Mailing Address - Country:US
Mailing Address - Phone:317-721-1719
Mailing Address - Fax:
Practice Address - Street 1:4016 S MERIDIAN ST STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-3310
Practice Address - Country:US
Practice Address - Phone:317-721-1719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker