Provider Demographics
NPI:1639872401
Name:MUNROE, COURTNEY AKIEL (LCSW-A)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:AKIEL
Last Name:MUNROE
Suffix:
Gender:M
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 POINTE GROVE LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-8033
Mailing Address - Country:US
Mailing Address - Phone:919-886-2107
Mailing Address - Fax:
Practice Address - Street 1:524 POINTE GROVE LN
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-8033
Practice Address - Country:US
Practice Address - Phone:919-886-2107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0184751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical