Provider Demographics
NPI:1326390139
Name:MERTES, COURTNEY (MS LIMHP LADC LPC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:MERTES
Suffix:
Gender:F
Credentials:MS LIMHP LADC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13513 COTTNER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1629
Mailing Address - Country:US
Mailing Address - Phone:402-590-8766
Mailing Address - Fax:402-838-7248
Practice Address - Street 1:13513 COTTNER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1629
Practice Address - Country:US
Practice Address - Phone:402-590-8766
Practice Address - Fax:402-838-7248
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health