Provider Demographics
NPI:1306382338
Name:THOMPSON, COURTNEY CELESTE (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CELESTE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 W GREEN OAKS BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2789
Mailing Address - Country:US
Mailing Address - Phone:682-220-9485
Mailing Address - Fax:
Practice Address - Street 1:3901 W GREEN OAKS BLVD STE D
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2789
Practice Address - Country:US
Practice Address - Phone:682-220-9485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-14
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202783106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist