Provider Demographics
NPI:1487825402
Name:LOY, COURTNEY ROCHELLE (LMFTA)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:ROCHELLE
Last Name:LOY
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 WINTHROP AVE STE 100B
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-5619
Mailing Address - Country:US
Mailing Address - Phone:817-718-4905
Mailing Address - Fax:
Practice Address - Street 1:3309 WINTHROP AVE STE 100B
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-5619
Practice Address - Country:US
Practice Address - Phone:817-718-4905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200907106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist