Provider Demographics
NPI:1043072804
Name:BINT, COURTNEY (IBCLC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:BINT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14412 LUCY RD
Mailing Address - Street 2:
Mailing Address - City:ELECTRA
Mailing Address - State:TX
Mailing Address - Zip Code:76360-7931
Mailing Address - Country:US
Mailing Address - Phone:940-250-8766
Mailing Address - Fax:
Practice Address - Street 1:14412 LUCY RD
Practice Address - Street 2:
Practice Address - City:ELECTRA
Practice Address - State:TX
Practice Address - Zip Code:76360-7931
Practice Address - Country:US
Practice Address - Phone:940-250-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-311894174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN