Provider Demographics
NPI:1558973412
Name:TAPIA-ACOSTA, COURTNEY F (LPC)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:F
Last Name:TAPIA-ACOSTA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 E BROADWAY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3903
Mailing Address - Country:US
Mailing Address - Phone:520-240-6263
Mailing Address - Fax:
Practice Address - Street 1:153 S PLUMER AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-6300
Practice Address - Country:US
Practice Address - Phone:520-240-6263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health