Provider Demographics
NPI:1407489669
Name:CARTER, COURTNEY (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9177 CUT BANK WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-2708
Mailing Address - Country:US
Mailing Address - Phone:720-998-5723
Mailing Address - Fax:
Practice Address - Street 1:9177 CUT BANK WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-2708
Practice Address - Country:US
Practice Address - Phone:720-998-7023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-17
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health